Title Page
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Conducted on
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Prepared by
Concrete Items
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Contractor
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Plant:
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Mix Design
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Retarder?
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Retarder dose rate:
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Increase delivery time?
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Midrange?
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Slump min:
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Slump max:
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Slump requested:
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Air minimum after placement:
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Air max after placement:
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Test frequency:
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Stop pump during tests?
Service items
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Direction to come in to site:
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How many loads before waiting for first onsite test?
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Date & time of pour:
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Hold if weather issues?
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Total yards?
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Yards per hour:
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Travel time:
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Trucks needed:
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Number of placement moves:
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Yardage to hold at for moves:
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Time to hold for moves:
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Washout area:
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Backup plant:
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Method of placement:
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Placement company:
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Site foreman:
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Site foreman phone number:
Internal items
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Extra air on site
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Extra water reducer on site
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Run tests prior to pump to develop air and slump loss
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Person observing, adjusting, and testing loads prior to pump:
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Person observing the testing and placement after pump:
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CPI:
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Raw materials on hand prior to pour(if possible)
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Back flush drums prior to loading
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Check batch computer for proper batch weights
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Test first load at plant and after any major changes
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Keep good communication between site and plant