 | Customer-Person or Company placing orders and responsible for
payment |
| Date-Date of delivery requested |
| Phone-Cell phone# or business phone# of person at site of
delivery or who should be contacted in case problems arise. |
| Yards-Total cu.yds estimated for job |
| Mix Design-Application |
| Slump-Stiffness of concrete required when delivered to job site. |
| Additives-Chemicals to increase or decrease concrete setting
time |
| Type-Driveway, foundation, wall, or others (not necessary just
helpful) |
| Time-Requested delivery time (can vary with scheduling), site must
be ready, and people doing work must be on site to distribute the concrete. |
| Time Between Trucks-If necessary for large orders please specify
time interval between truck deliveries. |
| Fiber-Used for strengthening concrete please specify yes or no |
| Location-Address or specific location for which the concrete is
going to be placed at |
| Location Condition-Condition of ground at job site (helpful in
determining truck type) examples: mud, steep grade, soft or hard sand, |
| Truck Type-Rear discharge, All wheel drive, or Front discharge |
| Rebar-Steel reinforcement for concrete please specify length (If
needed) |
| Expansion Joint-Please specify 4" or 6"
|
