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CTM 551-August 2012: Method of Test for Determining Suitability of Materials for Overlayment and Repair of Portland Cement Concrete Pavements and Structures

Tester's full name *

____________

Date of test *

____ / ____ / ____ (Month / Day / Year)

Curing history for Sample 1 *

____________

Maximum applied load (P) for Sample 1 *

____________ lb

Span length for Sample 1 *

____________ in

Break location for Sample 1 *

bond PCC cohesive failure (Circle One)

Specimen defects/notes for Sample 1

____________

Surface type for Sample 1 *

dry SSD (Circle One)

Modulus of rupture (R) for Sample 1 *

____________ psi

Curing history for Sample 2 *

____________

Maximum applied load (P) for Sample 2 *

____________ lb

Span length for Sample 2 *

____________ in

Break location for Sample 2 *

bond PCC cohesive failure (Circle One)

Specimen defects/notes for Sample 2

____________

Surface type for Sample 2 *

dry SSD (Circle One)

Modulus of rupture (R) for Sample 2 *

____________ psi

Curing history for Sample 3 *

____________

Maximum applied load (P) for Sample 3 *

____________ lb

Span length for Sample 3 *

____________ in

Break location for Sample 3 *

bond PCC cohesive failure (Circle One)

Specimen defects/notes for Sample 3

____________

Surface type for Sample 3 *

dry SSD (Circle One)

Modulus of rupture (R) for Sample 3 *

____________ psi

General comments (publicly viewable) (Max 1000 characters)

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Project test result compliance comments (Max 1000 characters)

__________________________________________________________
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Test result compliancecomplies does not comply not applicable (Circle One)