Concrete construction: Concrete ready-mix truck loaded with concrete to cast in place. Front of truck is to left, and concrete is chuted out from top, left, of the rotating drum. Primary chute is just forward of driver's front window. Additional sections of chute are attached to top of long truck rear fender, to be fitted together as needed to transport concrete further. Truck is traveling on its front-steering axle and 2 of its 5 rear axles. Cardiovascular Center, University of Michigan Hospital, Ann Arbor, 2004.