Document No: J167-FRM-021

Date:
Revision: 0 CONCRETE PLACEMENT RECORD
Page: 1
Of: 1

CLIENT: OMAN GAS COMPANY SAOC Date:

CONTRACT: EPC WORK FOR PERMANENT STAFF ACCOMMODATION Design Mix Ref:

CONTRACT No. OGC/14/2017 Placement Method :

Concrete Grade:
Element:

Batch Arrival Discharge Discharge Slump Concrete Ambient Volume, Cumulative

Delivery Ticket No. Cubes Taken Remarks
Time Time Start Finish (mm) Temp. Temp. this load Volume

For TARGET LLC: Signature: Date: For OGC: Signature: Date:

J142-FRM-021 Rev. 00
 Target LLC, P.O. Box: 574, Ruwi, Post Code: 112, Sultanate of Oman, Phone: 24505970/ Fax: 24505982

J142-FRM-021 Rev. 00