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Brighton Manor-LR040514Texas CMT, Irlc. 10044 Monroe Drive Dallas, Texas 75229 (214) 352-6957 Fax (214) 352-6972 www .texascmt.com REPORT OF CONCRETE MIX OBSERVATION Report Date: May 14, 2004 Data Concrete Placed: May 7, 2004 Client: Street Custom Homes Project: Brighton Manor Contractor: Guzman Construction Concreta Supplier and Plant: LMC #3 Location of Placement: Inlets/Manhole Standard 6"x12" Area 28.27 Square Inches Concrete Report No.: 4 Project Ilo.: 204-0126 MATERIALS ~ sso ~ w,,. OBSERVATION DATA Mix Ilumber: 1703 Time Sample Bntched: C~m~nt: I Staple ~tion: Fly ~h: Tmc~icket No: C~e A~gata: Fine A~e~m: Conc~ta Slump ~g~ (inches): 3" Admixtures: W~er Conditions: Clear 2 Time Completed: 06:00 pm Add~ Water: 5 g~lons Staple Air Content (%}: 3.6% Total Cubic Y~ds Placed: 4.5 4.000 Requir :d Strength tLbs./sq.in. 02:31 pm 03:30 pm Manhole - Samuel & Mac,Mlhur intersection 964/307730 BM 13 05/14/04 100,580[ 3,560/f / BM 14 3. 28 06/04/04 ~ BM 15 28 06/04/04 BM 16 H HOLD Remarks and/or Distribution: cc: Mr Jim Street - Street Custom Homes Mr. Larry Davis - Ci~ of Coppell Mr. Rodney Louviem - Fax: 972-9314787