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ITP No.:
Inspection Gr.
FIELD INSPECTION REPORT Report No.
Quality Control Form Date
INSPECTION TYPE WORK No.
ITEM No.
CALIFORNIA BEARING RATIO TEST
LOCATION
SIGNATURE
INSPECTION NOTICE NO.: COMPANY CONTRACTOR SUBCONTRACTOR
COMPANY’S INSPECTOR: / / / / / /
CONTRACTOR INSPECTOR:
SUBCONTRACTOR INSPECTOR
DATE TESTED ___________________________________
SAMPLE OR LOCATION NO. _______________ DEPTH ______________ m TESTED BY______________________
TYPE OF TEST LAB. TEST._______ FIELD TEST TYPE OF SOIL UNDIST, COMPAT
MATERIAL _______________________ SOAKING CONDITIN SOAKED FOR _____ HRS., UNSOAKED
METHOD OF COMPATION: __________ BLOWS PER EACH OF _____ LAYERS _____ kg HAMMER _____ cm DROP
PROVING RING NO. ___________ SURCHARGE WEIGHT _________ kg, OF MOLD ______________ cm

WATER CONTENT INITIAL OR IN-SITU DENSITY g/cm3

MOLD OR TEST NO. NO. NO. NO. MOLD OR TEST NO. NO. NO. NO.
BEFORE SOAKING OR WET DENSITY
IN-SITU
AFTER SOAKING DRY DENSITY
AFTER PENET
PENETRATION LOAD kg
SWELL DATA PENET. MOLD OR MOLD OR MOLD OR
MM TEST NO. TEST NO. TEST NO.
SOKING TIME, HRS 0.5
NO. 1.0
SWELL IN MILIMETER NO. 1.5
NO. 2.0
NO. 2.5
SWELL IN PERCENT NO. 3.0
NO. 4.0
NOTE: 5.0
STANDARD LOAD AT 2.5 mm PENET.=1370 kg 7.5
STANDARD LOAD AT 5.0 mm PENET.=2030 kg 10.0
CBRAT 2.5 mm PENET.
NO. ---------------------
DIA.PISTON kg

NO. ---------------------
LOAD ON 5cm

NO. ---------------------
AVERAGE ------------
CBR AT 5.0 mm PENET.
NO. -----------------------
NO. -----------------------
NO. -----------------------
AVERAGE --------------
0 1 2 3 4 5 6 7 8 9 10 11 12 13 REMARKS:

PENETRATION (mm)
Legend NA.: Not Applicable
FORM No. NQF - 054