Appendix A - Request for Approval (RFA) - Concrete Mix Design

Request for Approval (RFA)

Concrete Mix Design
(A separate request is required for each mix design)

To be completed by SAPMT/maintenance organizations and approved by Inspection Department or operations

inspection units only.

DATE: ______________.
BI/JO. No.: ____________________________ CONTRACTOR: ____________________________________
Project Title: ____________________________ LOCATION: ____________________________________
To: _____________________________________________________
Area Supervisor DH RT ABQ RY
Project Inspection Unit/Proponent-Inspection Agency
JED OTHERS : ___________

Address: ________________________________________________________________________________
From: _______________________________________ Job Title: ______________________________________
Address: ________________________________________________________________________________
Tel/Fax: _____________________________ Signature: _____________________________________
E-mail: _________________________________________________________________________________
It is requested that the attached mix design data sheet (Appendix-B) be reviewed and approved for the subject project.
Saudi Aramco Project Management has reviewed the mix design criteria and found to be in compliance with the project
requirements.

New Mix Design Established Mix Design

Mix Design ID No.: Supplier:
Location: BP Serial No.:
Precast/Pre-stressed Concrete Cast-In-Place Concrete
Structural Non-Structural
Design Compressive Strength: 14 MPa 30 MPa Others: ______ MPa
With Pozzolan Without Pozzolan Cement Type: ____
Exposure Environment
S0 S1 S2 S3 S4 C0 C1 C2
(SAES-Q-001):
Remarks on Type Exposure: ______________________________________________________________________
(A separate request is required for each exposure type)

FOR INSPECTION DEPARTMENT OR OPERATIONS INSPECTION UNIT USE ONLY

Approved Rejected Approved –MTAT with CAR

Remarks: _________________________________________________________________________________________
_________________________________________________________________________________________
Name: __________________________________ Job Title: _____________________________
Tel. NO.: __________________________________ Signature & Date: _____________________________

Original: PMT/Maintenance Engineer

cc: Project File/Mix Design File
ID/BP&CT

Notes: 1. Inspection Department shall be notified in writing at least 7 working days prior to conducting Full Scale Batch Plant Trials.
2. Attach the document batch printouts and stationary central mixers Uniformity Tests to ASTM C94M.

Saudi Aramco: Company General Use