OMT085 2/2011 Design Break Acceptance Other MARYLAND STATE HIGHWAY ADMINISTRATION PORTLAND CEMENT CONCRETE TEST RESULTS CONTRACT NO: FAP NO: DATE PLACED: MIX DESIGN NO: PRODUCER / LOCATION: Quantity Total Qty of Represented USE / LOCATION: ITEM NO: CY CY Test Load by This Test (i.e. 8, 36 or 50 c.y.) TEST RESULTS PLASTIC CONCRETE – STANDARD/CURED ACCEPTANCE CYLINDERS (28 DAY) LOAD TICKET NO: AFTER MOLDING: SPECIMENS IMMEDIATELY MOVED TO WATER CEMENT RATIO STORAGE AND UNDISTURBED FOR INITIAL CURING (Inches) Test 1: Test 2: INITIAL CURING: SPECIMENS WERE STORED AT 60 TO 80 ºF (AASHTO T-119) IN MOIST CONDITION FOR UP TO 48 HRS AIR CONTENT (%) Test 1: Test 2: (AASHTO T-152 or T-196) FINAL CURING: AFTER COMPLETION OF INITIAL CURING AIR TEMPERATURE AND WITHIN 30 MIN. AFTER REMOVING MOLDS, SPECIMENS WERE SUBMERGED IN SATURATED LIME WATER TANKS AT CONCRETE TEMPERATURE 73 ± 3 ºF OR DELIVERED TO LABORATORY (ASTM C-1064) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ NOT CYLINDER NUMBERS NOTE: SPECIMENS FOR ACCEPTANCE (Early Breaks): STORE IN OR ON THE STRUCTURE AND PROVIDE THEM THE SAME TEMPERATURE AND MOISTURE ENVIRONMENT AS THE STRUCTURE DATE STRIPPED DELIVER TO LAB WITHIN 24 HRS OF REQUESTED TEST AGE CURING METHOD RESULTS OF FIELD TESTS (AASHTO T-23) MEETS SPECIFICATIONS MOLDED BY DOES NOT MEET SPECIFICATIONS FIELD REMARKS / RESOLUTIONS: SIGNED: _______________________________________(Project Engineer / Rep) LAB TEST RESULTS HARDENED CONCRETE – AASHTO T-22 DATE RECEIVED: DATE AGE STRENGTH CYLINDER # BIN # TESTED (DAYS) PSI LAB REMARKS: RESULTS OF LAB MEETS SPECIFICATIONS DOES NOT MEET SPECIFICATIONS SIGNED: _________________________________(OMT/CTD Engineer / Rep) DISTRIBUTION: PROJECT ENGINEER / PRODUCER / REGIONAL FILE (Original)
OMT085 2/2011 Design Break Acceptance Other MARYLAND STATE HIGHWAY ADMINISTRATION PORTLAND CEMENT CONCRETE TEST RESULTS CONTRACT NO: FAP NO: DATE PLACED: MIX DESIGN NO: PRODUCER / LOCATION: USE / LOCATION: ITEM NO: Quantity of Test Load CY Total Qty Represented by This Test CY (i.e. 8, 36 or 50 c.y.) TEST RESULTS – PLASTIC CONCRETE LOAD TICKET NO: STANDARD/CURED ACCEPTANCE CYLINDERS (28 DAY) AFTER MOLDING: SPECIMENS IMMEDIATELY MOVED TO STORAGE AND UNDISTURBED FOR INITIAL CURING INITIAL CURING: SPECIMENS WERE STORED AT 60 TO 80 ºF IN MOIST CONDITION FOR UP TO 48 HRS FINAL CURING: AFTER COMPLETION OF INITIAL CURING AND WITHIN 30 MIN. AFTER REMOVING MOLDS, SPECIMENS WERE SUBMERGED IN SATURATED LIME WATER TANKS AT 73 ± 3 ºF OR DELIVERED TO LABORATORY ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ NOTE: SPECIMENS NOT FOR ACCEPTANCE (Early Breaks): STORE IN OR ON THE STRUCTURE AND PROVIDE THEM THE SAME TEMPERATURE AND MOISTURE ENVIRONMENT AS THE STRUCTURE DELIVER TO LAB WITHIN 24 HRS OF REQUESTED TEST AGE WATER CEMENT RATIO (Inches) (AASHTO T-119) Test 1: Test 2: AIR CONTENT (%) (AASHTO T-152 or T-196) Test 1: Test 2: AIR TEMPERATURE CONCRETE TEMPERATURE (ASTM C-1064) CYLINDER NUMBERS DATE STRIPPED CURING METHOD (AASHTO T-23) RESULTS OF FIELD TESTS MEETS SPECIFICATIONS DOES NOT MEET SPECIFICATIONS SIGNED: _______________________________________(Project Engineer / Rep) MOLDED BY FIELD REMARKS / RESOLUTIONS: LAB TEST RESULTS – HARDENED CONCRETE AASHTO T-22 CYLINDER # BIN # DATE TESTED AGE (DAYS) STRENGTH PSI DATE RECEIVED: LAB REMARKS: RESULTS OF LAB MEETS SPECIFICATIONS DOES NOT MEET SPECIFICATIONS SIGNED: _________________________________(OMT/CTD Engineer / Rep) DISTRIBUTION: PROJECT ENGINEER / PRODUCER / REGIONAL FILE (Original)