Aggregate Industries Concrete Test Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job Site Information

• Name of Account

• Project

• Mix Design

• Slump Ordered

• Description of Placement

• Photo of Job Site

  Media

Physical Properties

Physical Properties Test 1

• Ticket Number

• Plant Number

• Truck Number

• Slump in Inches

• Percent Air

• Unit Weight

• Concrete Temperature

• Air Temperature

• Time Batched

• Time of Test

• Relative Yield

• Water Added

• Was Cylinders Cast By Aggregate Industries

  Yes

  No

• Was Cylinders Cast By Test Lab

  Yes

  No

Physical Properties Test 2

• Ticket Number

• Plant Number

• Truck Number

• Slump in Inches

• Percent Air

• Unit Weight

• Concrete Temperature

• Air Temperature

• Time Batched

• Time of Test

• Relative Yield

• Water Added

• Was Cylinders Cast By Aggregate Industries

  Yes

  No

• Was Cylinders Cast By Test Lab

  Yes

  No

Physical Properties Test 3

• Ticket Number

• Plant Number

• Truck Number

• Slump in Inches

• Percent Air

• Unit Weight

• Concrete Temperature

• Air Temperature

• Time Batched

• Time of Test

• Relative Yield

• Water Added

• Was Cylinders Cast By Aggregate Industries

  Yes

  No

• Was Cylinders Cast By Test Lab

  Yes

  No

Physical Properties Test 4

• Ticket Number

• Plant Number

• Truck Number

• Slump in Inches

• Percent Air

• Unit Weight

• Concrete Temperature

• Air Temperature

• Time Batched

• Time of Test

• Relative Yield

• Water Added

• Was Cylinders Cast By Aggregate Industries

  Yes

  No

• Was Cylinders Cast By Test Lab

  Yes

  No

Physical Properties Test 5

• Ticket Number

• Plant Number

• Truck Number

• Slump in Inches

• Percent Air

• Unit Weight

• Concrete Temperature

• Air Temperature

• Time Batched

• Time of Test

• Relative Yield

• Water Added

• Was Cylinders Cast By Aggregate Industries

  Yes

  No

• Was Cylinders Cast By Test Lab

  Yes

  No

Critique of Independent testing Laboratory Testing Procedures

• Make Comments Here

Initial Curing Conditions according to ASTM C 31

• Has the contractor provided and maintained adequate facilities for safe storage and proper curing of concrete test specimens on the job site for initial curing as required by ACI 301-96 section 1.6.3.2.d.

  Yes

  No

• Photo of cylinders curing conditions

  Media

Comments and Recomendations

• Comments

• Additional Photos

  Media

• Additional Photos

  Media

• Additional Photos

  Media

• QC Signature

  Sign