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SS9901-LR051028Construction 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: Client: Prqiect: Contractor: Concrete Supplier and Plant: Location of Placement: October 28, 2005 Date Concrete Placed: October 20, 2005 City of Coppell DeForest & Sandy Lake Wastewater Lift Stations: Project SS 99-01 Can-Fer Construction Southern Star 27 Baffle wall Standard 6"xl2" Area 28.27 Square Inches Concrete Report No.: 2 1 Project No.: 205-0126 MATERIALS sour~ SSD Batch Wts OBSERVATION DATA Description (Lba/CuYd) Mix Number: 7503 Time Sample Batched: Cement: Time Sampled: Sample Location: Fly Ash: Truck/Ticket No: Coarse Aggregate: Temperature: Intermediate Aggregate: Ambient Range: 8 I°F Fmc Aggregate: Concrete Range: 84°F Slump Range (inches): 7" Admixtures: Weather Conditions: Clear I Time Started: 12:00 pm 2 Time Completed: 03:00 pm Added Water: 0 gallons Sample Air Content (%): N/A Total Cubic Yards Placed: 10 12:40 pm 01:25 pm Baffle wall ~ bottom of pit, east portion Requir, d Stren[,th (Lbs./sq.in.I 4000 Number Slump lin } (Daps) Te~ed (Lbs) {Lbs/Sq In ) DLS 77 7 10/27/05 125,920 4,450 DLS 78 28 l 1/17/05 DLS 79 28 11/17/05 DLS 80 H HOLD ASTM C-3 I,C-39,C- 143 {Unless Noted Ot her wi~e} Cylinders Made By: MR Remarks and/or Distribution: * Concrete foreman informed of slump cc: Mr. Rick O'Dell - City of Coppell Mr. Todd C. Hoff- Canfer Construction Co. Ms. Erika K. Cooper - Turner, Collie & Breden Mr. Bobby Bag - Onsite cell: 469-556-6469 Texas CI4T, Inc. Reviewed by: