Concrete Test Report

• Conducted on

  Date

• Prepared by

• Location
  Address

PLANT / PROJECT USE

• Date:

  Date

• Type of Specimen:

  4 X 8

  6 X 12

  Beam

• Contractor:

• Project:

• Cylinder ID / Test #:

• Unit Weight:

• Calc. Unit Wt.:

• Slump

• Mix Temp:

• Air Temp:

• Yield:

• Mix #:

• Sampled By:

• Truck #:

• Batch Plant:

• Batch Time:

  Date

• Ticket #:

• Sample Time:

  Date

• Cumlative Yards:

• % Air:

• Signature of Plant Mgr, Batcher, or Qualified Designate

  Sign

• Date Received in Lab:

  Date

QA Use Only

Test 1

• Date Tested:

  Date

• Test Age (Days)

• Cylinder Diameter

• Cylinder Height

• Cylinder Area

• Maximum Load (lbs.)

• Compressive Strength (Psi)

Test 2

• Date Tested:

  Date

• Test Age (Days)

• Cylinder Diameter

• Cylinder Height

• Cylinder Area

• Maximum Load (lbs.)

• Compressive Strength (PSI)

Test 3

• Date Tested:

  Date

• Test Age (Days)

• Cylinder Diameter

• Cylinder Height

• Cylinder Area

• Maximum Load (lbs.)

• Compressive Strength (PSI)

Test 4

• Date Tested:

  Date

• Test Age (Days)

• Cylinder Diameter

• Cylinder Height

• Cylinder Area

• Maximum Load (lbs.)

• Compressive Strength (PSI)

Test 5

• Date Tested:

  Date

• Test Age (Days)

• Cylinder Diameter

• Cylinder Height

• Cylinder Area

• Maximum Load (lbs.)

• Compressive Strength (PSI)