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MUNICIPAL TESTING LABORATORY, INC.

375 RABRO DRIVE, HAUPPAUGE NY 11788 • TEL: (631) 761-5555 • www.mtllab.net

DATA SHEET 2 X 2 GROUT CUBES

CLIENT: IBTS LAB #:

ADDRESS: 310 east 8th road REPORT #:

REPORT DATE: 11/01/2017

CONTRACTOR: CAC-BHL INSPECTOR: Omar Elshahat

MIX PROPORTIONS:

PROJECT: 001164

LOCATION OF POUR: CMU foundation,boiler room (reinforcement tendons)

SPECIFIED STRENGTH PSI: 4000 psi


TYPE O = 350, TYPE N = 750, TYPE S = 1800, TYPE M = 2500

AGE TOTAL
DATE
SEAL/ID # DATE CAST OF LOAD SPECIFIC LOCATION OF TESTED PORTION
TESTED
TEST (KN)
CUBE SET # NUMBER ONE

C1962 11/01/2017 7 (around the fire rated door)

C1963 11/01/2017 28 (around the fire rated door)

C1964 11/01/2017 28 (around the fire rated door)

CUBE SET # NUMBER TWO

DATE DELIVERED: DAYS IN FIELD: DELIVERED BY:

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