MS 038 Concrete Testing.pdf

MATERIAL APPROVAL SUBMITTAL

(See Instructions on Reverse)

Form Approved OMB No 9000-0062

Expires May 31, 2005

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Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No 9000-0062, Washington DC 20503. Please DO NOT RETURN your form to either of these addresses. Send your completed form to: SAF/AQCP, 1060 Air Force Pentagon, Washington DC

TO: (Contracting Officer) FROM: (Contractor) DATE

CONTRACT NUMBER SUBMISSION NUMBER SUBMITTAL

PREVIOUS SUBMISSION NUMBER PROJECT NUMBER

TO BE COMPLETED BY CONTRACTOR FOR GOVERNMENT USE ONLY

ITEM

NO.

SPECIFICATION SECTION/

PARA NO./DRAWING NO.

DESCRIPTION OF MATERIAL

(Include Type, Model Number, Catalog Number, Mfg., etc.)

AP-

PROVED

DISAP-

PROVED

SEE

REVERSE

INITIAL

BY COMPLETING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT

THE MATERIAL COMPLIES WITH ALL SPECIFICATIONS OF SUBJECT CONTRACT.

DATE (YYYYMMDD) TYPE OR PRINT NAME AND GRADE SIGNATURE

FOR GOVERNMENT USE ONLY

TO: (Base Civil Engineering Officer)

For Evaluation and Action RNLT ________________ OR SOONER

DATE (YYYYMMDD) TYPE OR PRINT NAME AND GRADE SIGNATURE

TO: (AF Contracting Office)

RECOMMEND APPROVAL DISAPPROVAL AS INDICATED ABOVE AND SUBJECT TO ANY APPLICABLE COMMENTS ON THE REVERSE

DATE (YYYYMMDD) TYPE OR PRINT NAME AND GRADE SIGNATURE

TO: (Contractor)

APPROVED

DISAPROVED AS INDICATED ABOVE AND SUBJECT TO ANY APPLICABLE COMMENTS ON THE REVERSE SIDE. REQUEST

RESUBMITTAL ON DISAPPROVED ITEMS WITHIN ____ DAYS OF DATE SHOWN BELOW.

DATE (YYYYMMDD) TYPE OR PRINT NAME AND GRADE SIGNATURE

AF IMT 3000, 20030901, V1 PREVIOUS EDITION IS OBSOLETE.

New Resubmittal

COMMENTS

(Number to correspond with applicable Item Number on reverse)

INSTRUCTIONS TO CONTRACTORS

1. The term "material" is defined as articles, supplies, raw materials, equipment, parts, components, and end items that are to be incorporated into the work required by the contract.

2. This form is to be used by contractors for submitting Shop Drawings, Equipment Data, Manufacturer's Literature and Certificates and samples of Materials to the Government for approval in accordance with the provisions of this contract. Unless otherwise specified, it is to be prepared in 4 copies, signed, and provided to the contracting officer with appropriate attachments.

3. Item(s) to be approved will be clearly tabbed or identified. Data pertaining to item(s) to be approved will be clearly identified or tabbed, particularly where documents are voluminous, in order to properly evaluate the materials or articles to be incorporated in the work. Each attachment will be numbered to correspond with the item number shown on the face of this form.

4. Requests submitted shall be numbered consecutively, by contract, in the space entitled "Submission No.". This number, in addition to the Contract No., will be used to identify each Material Approval Submittal. Resubmissions will be indicated in the appropriate block and the insertion of previous submission number and data in addition to a new submission number. A single submission should be used for all work of a section of the specifications, but in NO instance should the submission include work for more than one (1) contract. Submittals requiring priority handling will be submitted by separate submittal using the form and so marked across the face of the form.

5. This Material Approval Submittal is not valid unless it is signed by the contracting officer. This approval is required as called for by the contracting officer under the terms of this contract.

AF IMT 3000, 20030901, V1 (REVERSE)

~T

GEOTEC LABS

A DIVISION OF ENPROTEC I HIBBS & TODD. INC

402 CEDAR

P 0 BOX3097

FAX 325 690 9127

ABILENE TX 79604-3097

TEL 325 696 5563

wwwe-htcom

COMPRESSION TEST REPORT

BILL TO: FARR BUILDERS LLC

3401 S GEVERS ST # 1

SAN ANTONIO, TX 78210

REPORT NO:

DATE POURED:

PROJECT: REPAIR MAINTENANCE SHOP- BUILDING 8040 TECHNICIAN:

TIME POURED:

CONCRETE TEMP:

AIR CONTENT:

SAMPLE MARK

DF-1

DF-2

DF-3

DF-4

REMARKS:

3:10 p 66° 3.0

Hold

MIX: 70M23509

PLACEMENT: grade beams I footings

SLUMP IN INCHES: 3%

WATER ADDED TO TRUCK 10 gallons

ACCUMULATED YARDS: 9.5

DATE

TESTED

03-26-18

04-11-18

04-11-18

Hold

TOTAL

LOAD- LBS

54,000

A 51989-18

03-14-18

JOSH ALVAREZ

TRUCK NO:

TICKET NO:

WEATHER:

3380160 70°

COMPRESSIVE

STRENGTH - PSI

4,300

COMPRESSIVE STRENGTHS DETERMINED IN ACCORDANCE WITH A.S.T.M. C39. CROSS SECTIONAL AREA, DIAMETER AND LENGTH ARE STANDARD UNLESS OTHERWISE NOTED.

PORTIONS OF THE INFORMATION CONTAINED IN THIS REPORT HAVE BEEN FURNISHED BY OTHERS CYLINDERS CURED IN LABORATORY IN ACCORDANCE WITH A.S.T.M. C31 UNLESS

OTHERWISE NOTED. IN COMPLIANCE WITH A.S,T.M. C138 C143 C172 C173 C231 C1064 C617 C1231.

REPORT DISTRIBUTION I GEOTEC LABS

e-mail group C.M .'f"~{;?sCOTI YUNGBLUT, P.E

Results shown on this report are for the exclusive use or the client for whom they were obtained and apply only to the samples tested and/or inspected They are not intended to be indicative of the qualities of apparently identical products The use of our name must receive prior approval

Firm Registration No 1151 PG Firm Registration No 501 03

RPLS Firm Nos 10011900 & 10007300

S. Gevers, San Antonio, TX 78210