MS 045 7 and 28 Day Concrete Test Reports.pdf

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MATERIAL APPROVAL SUBMITTAL

(See Instructions on Reverse)

Form Approved OMB No 9000-0062

Expires May 31, 2005

Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and

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

TO: (AF Contracting Office)

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

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.

AF IMT 3000, 20030901, V1 PREVIOUS EDITION IS OBSOLETE.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

2018-04-13T13:25:39-0500

JEON.YEONGSOO.1538040130

2018-04-12T09:13:03-0500

ROLAN.PATRICK.M.1515150249

2018-04-13T16:13:31-0500

ELSBREE.TERESA.JEANETTE.1395813010

TO Contracting Officer: Capt. Hillary Ince

FROM Contractor: FARR Builders LLC S. Gevers, San Antonio, TX 78210

DATE: 11 April .2018

CONTRACT NUMBER: FA4661-15-D-0001

SUBMISSION NUMBER: 45

PREVIOUS SUBMISSION NUMBER: 44

PROJECT NUMBER: FNWZ 12-0053

ITEM NORow1: 1

SPECIFICATION SECTION PARA NODRAWING NORow1: Per Sow

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow1: 7 And 28 Day Concrete Test Reports

INITIALRow1: PR

ITEM NORow2:

SPECIFICATION SECTION PARA NODRAWING NORow2:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow2:

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SPECIFICATION SECTION PARA NODRAWING NORow3:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow3:

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SPECIFICATION SECTION PARA NODRAWING NORow4:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow4:

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SPECIFICATION SECTION PARA NODRAWING NORow5:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow5:

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SPECIFICATION SECTION PARA NODRAWING NORow6:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow6:

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ITEM NORow7:

SPECIFICATION SECTION PARA NODRAWING NORow7:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow7:

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ITEM NORow8:

SPECIFICATION SECTION PARA NODRAWING NORow8:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow8:

INITIALRow8:

ITEM NORow9:

SPECIFICATION SECTION PARA NODRAWING NORow9:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow9:

INITIALRow9:

ITEM NORow10:

SPECIFICATION SECTION PARA NODRAWING NORow10:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow10:

INITIALRow10:

ITEM NORow11:

SPECIFICATION SECTION PARA NODRAWING NORow11:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow11:

INITIALRow11:

DATE YYYYMMDD: 2018-04-11

TYPE OR PRINT NAME AND GRADE: Wayne Owens, PS

TO Base Civil Engineering Officer: 502 CE

RNLT:

DATE YYYYMMDD_2: 20180413

TYPE OR PRINT NAME AND GRADE_2: A1C Yeongsoo Jeon

TO AF Contracting Office: 7 CONS

DATE YYYYMMDD_3: 20180412

TYPE OR PRINT NAME AND GRADE_3: Patrick Rolan, GS-12

TO Contractor: FARR Builders LLC.

DATE YYYYMMDD_4: 20180413

TYPE OR PRINT NAME AND GRADE_4: 1st Lt Teresa Elsbree

Text5:

Check Box6: Yes

Check Box7: Off

Check Box8: Off

Check Box9: Off

Check Box10: Off

Check Box11: Off

Check Box12: Off

Check Box13: Off

Check Box14: Off

Check Box15: Off

Check Box16: Off

Check Box17: Off

Check Box18: Off

Check Box19: Off

Check Box20: Off

Check Box21: Off

Check Box22: Off

Check Box23: Off

Check Box24: Off

Check Box25: Off

Check Box26: Off

Check Box27: Off

Check Box28: Off

Check Box29: Off

Check Box30: Off

Check Box31: Off

Check Box32: Off

Check Box33: Off

Check Box34: Off

Check Box35: Off

Check Box36: Off

Check Box37: Off

Check Box38: Off

Check Box3: Yes

Check Box50: Off

Check Box4: Yes

Check Box5: Off

Check Box39: Yes

Check Box40: Off

COMMENTS Number to correspond with applicable Item Number on reverseRow1:

GEOTEC LABS

A DIVISION OF ENPROTEC / HIBBS & TODD, INC

402 CEDAR ABILENE TX 79604-3097

P O BOX 3097 TEL 325 698 5563

FAX 325 690 9127 www.e-ht.com

Results shown on this report are for the exclusive use of 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. 50103

RPLS Firm Nos. 10011900 & 10007300

COMPRESSION TEST REPORT

BILL TO: FARR BUILDERS LLC

3401 S GEVERS ST # 1

SAN ANTONIO, TX 78210

PROJECT: REPAIR MAINTENANCE SHOP - BUILDING 8040

REPORT NO: A 51989-18

DATE POURED: 03-14-18

TECHNICIAN: JOSH ALVAREZ

MIX: 70M23509

PLACEMENT: grade beams / footings

TIME POURED: 3:10 p SLUMP IN INCHES: 3 ½ TRUCK NO: 515 CONCRETE TEMP: 66° WATER ADDED TO TRUCK 10 gallons TICKET NO: 3380160

AIR CONTENT: 3.0 ACCUMULATED YARDS: 9.5 WEATHER: 70°

SAMPLE MARK

DAYS

AGES

DATE

TESTED

TOTAL

LOAD - LBS

COMPRESSIVE

STRENGTH - PSI

DF-1 12 03-26-18 54,000 4,300

DF-2 28 04-11-18 64,000 5,095

DF-3 28 04-11-18 62,000 4,935

DF-4 Hold Hold

REMARKS:

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 GEOTEC LABS

e-mail group

GEOTEC LABS

A DIVISION OF ENPROTEC I HIBBS & TODD. INC

402 CEDAR

P 0 BOX3097

FAX 325 690 9127

ABILENE TX 79604-3097

TEL 325 698 5563

www.e-ht com

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-5

DF-6

DF-7

DF-8

REMARKS:

2:30 p 75° 4.5

MIX: 70M23504

PLACEMENT: grade beams northwest I southwest

SLUMP IN INCHES: 7

WATER ADDED TO TRUCK 0 gallons

ACCUMULATED YARDS: 10

DAYS DATE TOTAL

AGES TESTED LOAD- LBS

7 04-10-18 54,500

28 05-01-18

28 05-01-18

Hold Hold

A 52042-18

04-03-18

JOSH ALVAREZ

TRUCK NO:

TICKET NO:

WEATHER:

339720

COMPRESSIVE

STRENGTH - PSI

4,340

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 WITHA.S .T .M C138 C143 C172 C173 C231 C1064 C617 C1231.

REPORT DISTRIBUTION I GEOTEC LABS

e-mail group

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

Finn Registration No. 1151 PG Firm Registration No 50103

RPLS Firm Nos 10011900 & 1 0007300