DIME - Test Card

Test Card

What test method is being used? *

Tester's full name *

____________

Date of test *

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

Does the test specimen have a mass less than the minimum indicated? *

Yes No (Circle One)

Does the test specimen contain more than one material type( layered, etc.)? *

Yes No (Circle One)

Is the drying temperature different from 110 ± 5°C? *

Yes No (Circle One)

Boring Number

____________

Sample Number

____________

Test Number

____________

Container Number

____________

Was any material excluded from test specimen? *

Yes No (Circle One)

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)