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� <br />PITTSBURGH TESTING LABORATORY ��A,A a��= �__ <br />[STADLISN[D IGBI <br />826 N.W. 49�h S7REET., SEATTLE. WASI�INGTON 98107 <br />•S A MUTV�L pPOTCCT104 TO Cll[NTS. TNC pVBLIC .�H� :�..PSCLVC3. ALL pC�'OqT3 <br />M111E SUBMITTC� .�S iH[ CONiIOI_Nt1Al PPCPCP}Y Of CLI[ryT'�, ANO AIITNOPI2ATION <br />iON 1'UBIICM1TION Of ST.�T[M[NT4. CONC�IiylONS OR [RT111C'S fqOM OP qCGAqpING Order No. � <br />OIIP p[pOPTS Ig pCSEX\'CO p[NOING OUfl WPITTI.i 1pppOV/�L. <br />CONCRETE TEST REPORT <br />Dafe Moulded - � � Reported � � � �- <br />Project_ -- � � . - � ��• <br />At_— ';7.:'C;: . --_ <br />Coniractor � �� �' �- . .. <br />Reported to . ,:: --- — — -- <br />Concrete Supplier_ <br />Quantity Represented _�_�� Cu. Yds. Specimens made by <br />Locotion of pour (per information from job•site)____ <br />�' � <br />Report No. - <br />Client's No. <br />; � ;,. <br />_ No. Submitfed <br />: � , _ , � � <br />Srrergth requirement �� psi af 28 days Mix Design No.: _ <br />MATERIAL PROPOft7lONS USED (Quuntities per cubie yard of concrete) <br />Cement Ibs. _ bogs Type___, E3rand <br />Fine Aggregate (5SD) __ Ibs. $ource Type:_ <br />Coarse Aggregote (5SD) Ibs. $ize_ $ource Type: <br />Coarse Aggregate (SSD) _.Ibs. $ize ___ $ource _ Type:,,_ <br />Wa!er Tofal Gals. _ _Gals./bag; Actuol Slump--- In. <br />Admixture: AmouM _ - Kind - � ' � - � <br />Admixture: Amounf __,r __ Kind _ _ _ Entr. Air o <br />Temperatures: Air___°F Concrete_ °F Weather ' � <br />Mixing: Central Mix [] Truck Mix � Job Mix � <br />Above data obtained from: PTL Insper.tion � Project Engineer � Contractor � <br />Concrete Supplier � Gher � (Designate). <br />Cyls. delivered to lahoratory by: PTL � Contrador � Engineer ❑ Common Carrier � <br />Cylinder Size 6 x 12 Inches COMPRESSIVE STRENGTN Area 28.27 Sq. Ins. <br />SPECIMEN RGE <br />MARKING DAYS <br />/ <br />t;y <br />Remarks ` <br />LABORATORY I DATE I DATE <br />NUM6ER RECEIVEO TESTE❑ <br />'I _l�R I . .� I I� _, <br />TOTAI UNIT qEPORT <br />LOAp-POUNOS IOACi-P,5.1. NO. <br />:.i ;..� . <br />'•37:5Co r�G �, �.- <br />� v./ <br />���' I .�. . .�-.) � ....'l;i � i%:)�`ili �:C�l'1, <br />�L� — i <br />.� r; <br />Day fests previously reported <br />_, RespecfFully submitted, <br />PITTSBU GH TESTING LA 0 ATORY <br />�A <br />------�—�------� �riciM er <br />�J <br />