Request Letter For Concrete Cube Test Form PDF Details

In the realm of construction and engineering, ensuring the structural integrity and safety of materials is paramount. The Request Letter for Concrete Cube Test form issued by the Ajman Municipality & Planning Department encapsulates this concern by providing a comprehensive framework for requesting compressive strength tests on concrete cubes. This form, part of the Building Materials Laboratory Test Request & Worksheet documentation (CD-3-3-CO-F01, Issue 3, February 2014), facilitates the process of verifying the quality and compliance of concrete used in construction projects. It requires detailed information from the client, including report numbers from the contractor and consultant, ownership data, project specifics such as name and location, as well as technical details of the concrete samples like casting date and time, nominal size, and the age at which the test should be conducted. The form is designed to ensure that all necessary data, including curing and compaction methods, are meticulously recorded. It mandates the inclusion of a curing certificate, alongside details about the laboratory and personnel conducting the test, ensuring a high level of accountability and traceability. With spaces designated for results and remarks, including the method of volume determination and compressive strength test method as per British Standards, this document not only standardizes the testing request process but also serves as a crucial record for maintaining the quality and safety standards in construction.

QuestionAnswer
Form NameRequest Letter For Concrete Cube Test Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmaterial testing request letter format, request letter for sample testing, cube testing format, request letter for material testing

Form Preview Example

CD33COF01

 

 

 

 

AJMAN MUNICIPALITY & PLANNING DEPARTMENT

 

 

 

 

ISSUE 3; FEB ‘14

 

 

 

 

 

 

BUILDING MATERIALS LABORATORY

 

 

 

 

 

 

TEST REQUEST & WORKSHEET FOR COMPRESSIVE STRENGTH OF CONCRETE CUBES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*CLIENT

 

 

 

 

 

 

 

 

 

 

 

REPORT No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*CONTRACTOR

 

 

 

 

 

 

 

 

 

 

 

REQUEST No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*CONSULTANT

 

 

 

 

 

 

 

 

 

 

 

RECEIVED BY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*OWNER

 

 

 

 

 

 

 

 

 

 

 

DATE RECEIVED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*BLDG. PERMIT NO.

 

 

 

 

 

 

 

 

 

 

 

SAMPLE BROUGHT BY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*PROJECT NAME

 

 

 

 

 

 

 

 

 

 

 

EXP. REPORTING DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*PROJECT LOCATION

 

 

 

 

 

 

 

 

 

 

INVOICE NO.

 

 

 

 

 

 

*SOURCE

 

 

 

 

 

 

 

 

 

 

 

Note: Please provide and type all information and cross at

*STRUCTURAL REF.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

any items not applicable or input NP (Not Provided).

*SPECIFIED STRENGTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Casting date & time

 

 

 

 

 

 

 

 

 

 

 

*No. of cubes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Casting place

 

 

 

 

 

 

 

 

 

 

 

*Nominal size (mm)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Required test age

 

 

 

 

 

 

 

 

 

 

 

*Cubes prepared by

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Curing/ Storage- site

 

 

 

 

 

 

 

 

 

 

 

*Compaction equipment

 

Compaction bar

*Sampling preparation

 

 

 

 

 

 

 

 

 

 

 

*Compaction method

Manual

Vibration

*Curing certificate

 

 

 

 

yes

no

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Contractor: Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Consultant Stamp:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Mobile no.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Consultant: Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Mobile no.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lab sample no.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Customer's sample no.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Removal of fins

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check nominal dimension

YES NO

YES NO

YES

NO

YES NO

YES NO

YES NO

YES

NO

YES

NO

YES NO

 

 

 

 

 

L

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dimensions, mm

 

W

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

H

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mass, kg

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Max. Load @ F, kN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Compressive strength, N/mm2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fracture type*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Remarks:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Volume determination method

BS 1881; 1983; Part 114; Amd. 6098: 89 (by calculation)

 

Date tested

 

 

 

 

 

 

Comp. strength test method

 

BS 1881; 1983; Part 116; Amd. 6097 & 6720.

 

Tested by

 

 

 

 

 

 

Curing/ storage condition-lab.

BS 1881; 1983; Part 111; Amd. 9387/97 / NA

 

Reported by

 

 

 

 

 

 

Condition when received

 

Good; Poor Compaction; Honey Comb; Bad dimension

 

Checked by

 

 

 

 

 

 

Mass -density measurement

As received; Saturated, Oven dry

 

 

 

 

Compression machine

CO/__/1

 

 

 

Moisture condition

 

Moist, Saturated; Oven dry

 

 

 

 

Caliper

CO/__/1

 

 

 

Test method variation

 

 

 

 

 

 

 

 

 

 

 

Balance

CO/__/1

 

 

 

Note: Fracture type *

S: satisfactory; U: unsatisfactory

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Required information.

Please fill all required information then print form for required signatures and stamps.

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request letter for concrete cube test completion process shown (part 1)

2. The next step would be to fill in all of the following blanks: Fracture type, Remarks, Volume determination method, BS Part Amd by calculation, Comp strength test method, BS Part Amd, Curing storage conditionlab, BS Part Amd NA, Condition when received, Good Poor Compaction Honey Comb, Date tested, Tested by, Reported by, Checked by, and Mass density measurement.

Ways to fill in request letter for concrete cube test portion 2

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