Traditional trucks pick up cement from a facility and rotate it to keep it from setting. They don't mix it on the fly. Any extra is considered waste is poured out.
"Special concrete transport trucks (in-transit mixers) are made to mix concrete and transport it to the construction site. They can be charged with dry materials and water, with the mixing occurring during transport. They can also be loaded from a "central mix" plant; with this process the material has already been mixed prior to loading. The concrete mixing transport truck maintains the material's liquid state through agitation, or turning of the drum, until delivery. "
