DIME - Print Example Test Card

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Print Example 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 250 characters):

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Project test result compliance comments (Max 250 characters):

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Test result compliance: complies does not comply not applicable (Circle One)