Inspection for the 28 day old compressive strength test of
concrete cylinder at Koboi Benete Laboratory to the following 1 samples of concrete grade: 1) C30 N/mm2 (N.M, T-1 Cement) slump: 100 mm for cover Block GIS building
No. Drawing No. Rev.
Comments
Accepted □ Accepted with comments □ Rejected □ Cancelled □
Name / Signature / Date
Subcontractor Contractor OE Owner Other Discipline
Form Number: BHCP1-00-YYY-PR-Q-0003-02A -02A Rev.2