PMCM Form-048 / Rev.

0 / 20 May 2015

PMQS CONSTRUCTION SOLUTIONS, INC.

POST-POURING SUMMARY REPORT

PROJECT NAME :
LOCATION :
POURING LOCATION/AREA : DATE :

Note: 24-Hour cycle report

Pre-pouring request tracker number:

Post-pouring request tracker number:
Pouring date and time:

TARGET ACTUAL

VOLUME (CU.M.)

MIX TYPE

TIME START

TIME END

GRID X LINE

NUMBER OF TEST CYLINDER

REMARKS/NOTES:

SUBMITTED BY: SUBMITTED TO:

CONTRACTOR'S REPRESENTATIVE - DATE PMQS REPRESENTATIVE - DATE