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SS9901-LR040813Construction Materials Testing and Environmental Consulting Texas CMT, Inc. 10044 Monroe Drive Dallas, Texas 75229 (214) 352-6957 Fax (214) 352-6972 www .texascmt.com REPORT OF CONCRETE MIX OBSERVATION Report Date: August 13, 2004 Date Concrete Placed: August 5, 2004 Client: City of Coppell ProJect: DeForest Lift Station, Coppell Contractor: SYB Construction Concrete Supplier and Plant: LMC #6 I,ocation o f Placement: Manhole base ~p~p/f ffl,]/9 MATERIALS Source/ SSD ~.~ch w~s OBSERVATION DATA Description (LbsJCuYd) Mix Number: 1701 Time Sample Batched: Cement: Time Sampled: Sample Location: Fly Ash: Truck/Ticket No: Coarse Aggregate: Temperature: Intermediate Aggregate: Ambient Range: 90°F Fine Aggregate: Concrete Range: 95°F Slump Range (inches): 5~A" Admixtures: Weather Conditions: Clear I Time Started: 10:30 am 2 Time Completed: 01:15 pm Added Water: 0 gallons Sample Air Content (%): N/A Total Cubic Yards Placed: 10 Standard 6"xl2" Area 28,27 Square Inches Concrete Report No.: 3 Project No.: 204-0125 10:56 am Lane A & D, Station 46+25 939/6229863 xen~th (Lbs./sq in 4,000 Number Slump lin ) (DaYs) V*:st ed (Lbs.} {Lbs DLS 9 7 08/12/04 123,220 4,360 DLS 10 28 09/02/04 5½" DLS 11 28 09/02/04 DLSI2 I HI HOLD ASTM C-3 I,C-39,C-143 {U~]ess Noted Otherwise) Cylinders Made By: AS Remarks and/or Distribution: CC: Mr Rick O'Dell - City of Coppell Mr Ted B. Sugg - Turner Collie & Braden, Inc. Mr Sam Montoya - S.J. Louis Construction of Texas LTD. (Retests-densities) Reviewed by: