Concrete Pour Information Sheet

• Audit Title

• ORB - Downtown Crossing - Section 1

• Prepared by:

• Date

  Date

Equipment

• Adequate Water Supply

  Yes

  No

  N/A

• Operable Generator(s) and Fuel

  Yes

  No

  N/A

• Vibrator(s) and Backup

  Yes

  No

  N/A

• Finishing Tools

  Yes

  No

  N/A

• Approved Curing Compound for Structure

  Yes

  No

  N/A

• Sprayer or Pump System for Curing Compoud

  Yes

  No

  N/A

• Plastic

  Yes

  No

  N/A

• Burlap (If new has to be soaked for a MINIMUM of 24 hours prior to use)

  Yes

  No

  N/A

• Tremmie (If more than a 5' drop concrete must be delivered via tremmie)

  Yes

  No

  N/A

• Concrete Delivery Method

  Pump Truck

  Crane & Bucket

  Chutes

Concrete Information:

• Pour Start Date & Time:

  Date

• Pour End Date & Time:

  Date

• Contractor(s):

  Select Advance Concrete American Concrete Allied Concrete Ernst Concrete IMI Concrete

  • Advance Concrete
  • American Concrete
  • Allied Concrete
  • Ernst Concrete
  • IMI Concrete

• Delivery Method

  Select Pump Crane and Bucket Truck & Chutes

  • Pump
  • Crane and Bucket
  • Truck & Chutes

• Location(s):

• Estimated Volume (cu yd):

• Actual Volume (cu yd):

• Epoxy Bonding Agent Required:

  Yes

  No

• Is The Mix Design Approved?

  Yes

  No

• Mix Design Class:

  Select Class A Class AA Class A - Mod Class B Class M - 1 Class P DT100 - 10,000 DT80 - 8,000 DT61 - 6,000 DT51 - 5,000 DT50 - 5,000 F - 55 -45 Flowable Fill

  • Class A
  • Class AA
  • Class A - Mod
  • Class B
  • Class M - 1
  • Class P
  • DT100 - 10,000
  • DT80 - 8,000
  • DT61 - 6,000
  • DT51 - 5,000
  • DT50 - 5,000
  • F - 55 -45
  • Flowable Fill

• KYTC Mix Design Number:

• Temperature Control:

  N/A

  Chilled

  Iced

  Heated

• Fly-Ash:

  Yes

  No

• Retarder:

  Yes

  No

• Percentage Used:

  Select 1% 2% 3% 4% 5% 6% 7% 8%

  • 1%
  • 2%
  • 3%
  • 4%
  • 5%
  • 6%
  • 7%
  • 8%

• ##8 Stone:

  Yes

  No

  N/A

• Notes:

• Foreman/Superintendent

  Sign

• WCC - QC Engineer

  Sign

Concrete Curing

• What Curing Method Was Used?

  Wet Cure

  Spray Cure

  Blanket

  Plastic

• How Were Cylinders Cured?

  Cure Box

  Cooler

  With Structure

• Add media

  Media

• Notes:

TESTING RESULTS

Test

• Was a sample taken?

  Yes

  No

• Number of Cylinders:

• Cylinder Identification:

• Sample Location:

• Truck Number:

• Ticket #:

• Slump:

• Air:

• Concrete Temp:

• Ambient Temp:

• Add media

  Media

• Notes:

Thermal

• Temperature Probes Installed?

  Yes

  No

  N/A

• Number of Probes Installed?

• Probe Location(s):

• Add media

  Media