JAKARTA-BANDUNG HSR PROJECT

Test Commission Form

Project name JAKARTA-BANDUNG HSR PROJECT (WIKA) Consigning unit： WIKA/BP 8

Consignment No JBHSR-WIKA-0-SN-20200902-

Sample Name V Bulk cement

□ □Bagged cement

Sample Source GARUDA

Number of samples /

Type & Class OPC 1

Representative quantity 400 t

Sampling place BATCHING PLAN 8

Sample description QC/2020-08-28/OPC/H

Delivery date 02-Sep-20 Date of entrustment 02-Sep-20

Construction site
(Cement mortar strength test method(ISOlaw) GB/T17671-1999
(General purpose portland cement) GB175-2007
(Cement chemical analysis method)GB/T176-2017
(Cement standard consistencywater consumption, Setting time,
Stability test method)GB/T1346-2011
Inspection criterion
(cement specific surface area test method) GB/T8074-2008
(Interim technical conditions for high performance concrete of
bridge tunnels and subgrade structures from jakarta to bandung
high speed railway) TJ/GW158-2018
V
□specific V
surface area □setting V
time □stability
V
□Flexural V
strength □Compressive strength □Ignition loss
-
Test item □SO3 content □Mgocontent □CL content □ f-CaO content
□Alkali content □ C3A contentin clinker □Mortar fluidity

V
□agree □Disagree
Acceptance opinion of sample

02/09/2020
Sample date
KHAERUDDIN
Sampling person Sampling witness
BP 8
Client Client leading official

Address and zip code Telephone

IWAN
Collector Expected report date
Note
1.This order cannot be modified, if you need to modify, please accept the consent of the assignee and signing at the modification otherwise the
modification is invalid.
2.The status of the client on the sample, cleary fill in the information and integrity and inspection basis accept by the assignee.
3.After signing by the principal and the acceptor, indicates that the contract has been confirmed by both parties power of attorney.