GULF ASIA CONTRACTINg Co.

LLC
Ma'aden Umm Wu'al Phosphate Project - Wa'ad al shaamal,Turaif,KSA

REQUEST FOR READY MIX CONCRETE

Request date & Time:

Required
Area/ Type Of Quantity Status of
SL# Descriptions Remarks
Location Concrete in (M3) the Pump
Date Time

Requested By Supervisor Confirmed by Supdt./CM Approved By QD

NAME: NAME: NAME:

SIGN: SIGN: SIGN:
DATE: DATE: DATE:

Page 1 GAC-HQC-QD-QC-GE-FM-0008,Rev.A01, Request for Ready Mix Concrete