Concrete Test Report

Density test report

Date *

Project Number *

Name of the Project *

Project Location *

Client Company *

Weather

Arrival Date

Arrival Time

Departure Date

Departure Time

Onsite Hours

ASEC Technician Name

Sample Info

Number of Sets

Samples Cast Per Set

Compliance

Field placement of concrete appeared to be in general accordance with the project specifications (i.e., slump, temperature, etc.) (refer to remarks below)

Yes
No

Deviations and/or noncompliances were noted during the field placement (refer to remarks below)

Yes
No

Field Curing Cylinders were stored for the initial 24 hours

Near the poured structure
In an insulated curing box
Other

Remark

ASEC Sets

1

Field & Lab Data

ASEC Set ID

Laboratory Number

Date Sampled

Time Sampled

Sampled By

Contractor

Concrete Supplier

Truck Number

Ticket Number

Mix ID

Specified Strength (psi)

Time Batched

Quantity of Load (cu. yd.)

Location of Placement

Plastic Properties

Ambient Temperature (°f)

Concrete Temperature(°f)

Slump (in.)

Air Content (%)

Water Added (gal.)

Test Results

1

Specimen No.

Scheduled Test Date

Date Tested

Age (days)

Avg. Dimension (in.)

X-Section (in²)

Max Load (lbs.)

Compressive Strength (psi)

Type Of Fracture

Percentage Design Strength (%)

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