Form WP6-325 "Ready Mix Concrete Delivery Ticket" - Rhode Island

What Is Form WP6-325?

This is a legal form that was released by the Rhode Island Department of Transportation - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 25, 2016;
  • The latest edition provided by the Rhode Island Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form WP6-325 by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Transportation.

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Download Form WP6-325 "Ready Mix Concrete Delivery Ticket" - Rhode Island

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RHODE ISLAND DEPARTMENT OF TRANSPORTATION
MATERIALS AND QUALITY ASSURANCE
READY MIX CONCRETE DELIVERY TICKET
Lab No:
Date Rec:
PLANT DATA
RI Contract No:
F.A.P. No:
Producer:
Location:
Cast Date:
Mix No:
Mix Class:
Truck No:
Cubic Yards:
Cumulative Yards:
Ticket No:
Time Batched:
Discharge Time:
NOT TO EXCEED
Truck Mixed
Retemping Time:
NOT TO EXCEED
Design Water (gals):
Water In Agg. (free water) (gals):
Batch Water (gals):
Plant Inspector:
WATER ALLOWED AT SITE (gals):
(Print / Sign)
FIELD CONSTRUCTION DATA
Section Cast:
Item No:
Time of Initial Discharge From Truck:
Time of Final Discharge From Truck:
1
2
1
2
Admixture added at site:
oz / gals
at Time(s)
1
2
1
2
Water added at site:
gals
at Time(s)
Construction Inspector:
(Print / Sign)
FIELD MATERIALS TESTS
Acceptance
Independent
Trial Batch
Info Only
Spec
Spec
Air
Slump /
1
2
1
2
Content:
Spread:
Concrete
Ambient
Temperature (°F):
Unit Weight:
Dia of Cyl:
4"
6"
or
lbs/cu.ft
No of Cyl
Set #
Cylinder #s
Time Cast
SAMPLED FROM:
TRUCK CHUTE
END OF PUMP
OTHER:
INITIAL CURING:
FINAL CURING [ Check ]
MOIST RM (CENTRAL LAB)
FIELD CURED (LAB)
ON SITE (AMBIENT)
BREAK SCHEDULE (Quantity / Days)
/
/ 1
/ 2
/ 3
/ 4
/ 5
/ 7
/ 14
/ 21
/ 28
/ 56
Other
QC on Site
Comments:
Field Inspector:
Date:
(PRINT / SIGN)
ID# WP6 - 325
REV. 4/25/16
RHODE ISLAND DEPARTMENT OF TRANSPORTATION
MATERIALS AND QUALITY ASSURANCE
READY MIX CONCRETE DELIVERY TICKET
Lab No:
Date Rec:
PLANT DATA
RI Contract No:
F.A.P. No:
Producer:
Location:
Cast Date:
Mix No:
Mix Class:
Truck No:
Cubic Yards:
Cumulative Yards:
Ticket No:
Time Batched:
Discharge Time:
NOT TO EXCEED
Truck Mixed
Retemping Time:
NOT TO EXCEED
Design Water (gals):
Water In Agg. (free water) (gals):
Batch Water (gals):
Plant Inspector:
WATER ALLOWED AT SITE (gals):
(Print / Sign)
FIELD CONSTRUCTION DATA
Section Cast:
Item No:
Time of Initial Discharge From Truck:
Time of Final Discharge From Truck:
1
2
1
2
Admixture added at site:
oz / gals
at Time(s)
1
2
1
2
Water added at site:
gals
at Time(s)
Construction Inspector:
(Print / Sign)
FIELD MATERIALS TESTS
Acceptance
Independent
Trial Batch
Info Only
Spec
Spec
Air
Slump /
1
2
1
2
Content:
Spread:
Concrete
Ambient
Temperature (°F):
Unit Weight:
Dia of Cyl:
4"
6"
or
lbs/cu.ft
No of Cyl
Set #
Cylinder #s
Time Cast
SAMPLED FROM:
TRUCK CHUTE
END OF PUMP
OTHER:
INITIAL CURING:
FINAL CURING [ Check ]
MOIST RM (CENTRAL LAB)
FIELD CURED (LAB)
ON SITE (AMBIENT)
BREAK SCHEDULE (Quantity / Days)
/
/ 1
/ 2
/ 3
/ 4
/ 5
/ 7
/ 14
/ 21
/ 28
/ 56
Other
QC on Site
Comments:
Field Inspector:
Date:
(PRINT / SIGN)
ID# WP6 - 325
REV. 4/25/16