DIME - Print Example Test Card

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Tester's full name *: ____________

Date of test *: ____ / ____ / ____ (Month / Day / Year)

Identification of concrete represented by the sample *: ____________

Volume of the measure *: ____________ ft^3

Density of concrete *: __________ lb/ft^3

Yield of concrete: __________ yd^3

Relative yield of the batch: __________

Cement content: __________ lb/yd^3

Air content: __________ %

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