Laserfiche WebLink
WAL-MART STORES <br /> CONCRETE SLAB MIX DESIGN SUBMITTAL FORM <br /> (Section 03314—Cast-in-Place Concrete Slabs) Datel( <br /> ❑ DISCOUNT STORE ❑ SUPERCENTER ❑NEIGHBORHOOD MARKET ❑SAM'S CLL113 <br /> SUBMITTED MIX DESIGN )-q0p STORE INFORMATION <br /> Interior Building Slabs STORE# <br /> ❑03314-SLC Integrally Colored Concrete ADDRESS <br /> Mix ID# CITY,ST £✓�,1��-{' �„� <br /> ❑03314-SLN Natural Concrete(gray) GENERAL CONTRACTOR <br /> Mix ID# COMPANY <br /> JOBSITE PHONE <br /> A. CONCRETE INFORMATION <br /> Design Strength(rc) UD t7 psi <br /> Water/Cement Ratio C)- q O <br /> Total Air Content 1 . 5 % <br /> Wallace Design Collective, PC des' ne <br /> Mix Developed From ❑Approved collective <br /> ❑Trial Mix Test Data(attach test data) 0 APpoved as Noted <br /> ❑Revise as Noted and Resubmit <br /> 10 Field Experience(attach data) ❑Rejected-Resubmit as Specified <br /> Density ❑Retained for Records Only <br /> Review is only for general conformance with the Contract Documents and design concept of the <br /> 6 / Project.Review does not authorize extra costs associated with deviations from the Contract <br /> Wet pof Dry pef Documents.Markings or comments shall not be construed as relieving the Contractor from <br /> compliance with the Contract Documents and Contract Provisions.The Contractor remains <br /> Slump responsible for selecting fabrication processes,for techniques of construction,wnfrming and <br /> correlating all quantities and dimensions,for coordinating his work with other trades,and for <br /> compliance with all applicable laws,regulations,and codes. <br /> (f 1")WITHOUT WR Admixture <br /> BY B SHONDELMYER DATE 8/29I2023 <br /> 1")WITH WR Admixture <br /> B. ADMIXTURE INFORMATION <br /> ASTM Designation Product Dosage{ ur ces) <br /> (Manufacturer/Brand) oz/cy oz/c%rK <br /> Water Reducing �-`� Y Tj gc A 610 <br /> Acceleratin <br /> Retarding <br /> Liquid Color <br /> 03314-21 <br /> 3053-276 Everett,WA 2022.0481 02/222023 <br />