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SS9901-LR040622Construction~Materials Testing and Environmental Consulting Texas CM% Inc. 10044 Monroe Drive Dallas, Texas 75229 (214) 352-6957 Fax (214) 352-6972 www .texascmt.com REPORT OF CONCRETE MIX OBSERVATION Report Dale: June 22, 2004 Date Concrete Placed: June 15, 2004 Client: City of Coppell Project: Deforest Lift Station, Coppell Concrete Supplier and Plant: LMC #3 Location of Placement: Manhole Standard 6" x 12" Area 28.27 Squarc Inches Concrete Report No MATERIALS so~r*~ SSD Batch Wts OBSERVATION DATA Description (Lb~/CuYd) Mix Number: 1701 Time Sample Batched: 03:18 pm Cement: Time Sampled: 03:53 pm Sample Location: Manhole bottom Fly Ash: Truck/Ticket No: 1046/3179037 Coarse Aggregate: Temperature: Intermediate Aggregate: Ambient Range: 86°F 1:ine Aggregate: Concrete Range: 91°I: Slump Range (inches): 1%" 2 Time Compleled (15:30 pm Added Water: 0 gallons Sample Air Contenl (%): 3 5% Total Cubic Yards Placed: 8 Requir, d Stren$th (Lbs./sq in 3600 DLS I 7 06/22/04 120,600 4,270 DLS 2 28 07/13/04 DLS 4 ~ H HOLD Remarks and/or Distribution: cc: Mr. Rick O'Dell - City of Coppell Mr. Ted B. Sugg - Turner Collie & Braden, Inc Mr. Sam Montoya - SJ. Louis Construction of Texas LTD. (Retests-densifies) Texas CMT, Inc, Reviowod by: