CONCRETE FIELD TESTING REPORT

DATE 05/01/2018
CLIENT JRM Construction Management, LLC REPORT # PAGE OF

PROJECT Macy’s 16015 CONTRACTOR Navillus

CLIENT SIGNATURE COMPANY

TIME ½ DAY X FULL DAY OT (HOURS) AUTHORIZED BY

New York flushing Maspeth,

CONCRETE SUPPLIER Ferrera PLANT LOCATION brooklyn

LOCATION OF TOTAL CONCRETE PLACEMENT 2nd floor slab

Cle 70°
WEATHER: ar AM PM AIR TEMPERATURE: F AM PM

TIME TIME UNIT

TRUCK ON OFF SLUMP AIR % CONCRETE WEIGHT PLANT CYLINDER.
NO. SITE SITE C143 C231 TEMP. C1064 C138 TKT #: POUR LOCATION TAG NO.
536 5:21 5:37 8 6.3 69 115 256948 2ND FLOoR SLAB H9455
am am
536 5:21 5:37 8 6.3 69 115 256948 2nd floor slab H9456
am am
536 5:21 5:37 8 6.3 69 115 256948 2nd floor slab H9457
am am
536 5:21 5:37 8 6.3 69 115 256948 2nd floor slab H9458
am am
536 5:21 5:37 8 6.3 69 115 256948 2nd floor slab H9459
am am

*The exact spot the test concrete was placed (example: 2nd floor between Columns A to B, 1 to 2).

4000
Total Yards 260 yards Strength(s) pump Total Cylinders: 5 Cyls/ 1 sets
MTL Inspect Reinforcing/Form Yes X No NA MTL Inspected curing? X Yes No NA
Laboratory Notified Pick-up Cylinders Yes No Date: Report Faxed: Report Mailed

Remarks:

Above Tests Taken Strict Accordance to ASTM Standards? X Yes No NA

Technician: Omar Elshahat / /

PRINT SIGN CERTIFICATE #

*************ATTACH PLANT INSPECTION TRUCK TICKETS TO THIS REPORT**********