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Job No Customer Reciept Date Testing Date
Type Material
Certificate No Testing Location
Resolution (L.C.)
Accuracy
Job Type
Casting Date
Age
Grade Dia(In mm)
Condition Remark
Witness By ID NO Sample Condition
CMD And Job Mix details
Workability Retation Method of Mixing Mic Details
Aggregated Sample collected from
Batch No Bitumen % No. Of Boreholes Availibitlity of water
Proposed structure No. of storied of building No. of basements if any Name of structural designer
Name of Architect Make

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TestSub TestQtyRemark
% Compaction
Wt of Sand in Cone

Sample details

SampleReturnableSample No.Remark
Sample

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