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ASTM C1293-08b-re15: Standard Test Method for Determination of Length Change of Concrete Due to Alkali-Silica Reaction

Tester's full name *: ____________

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

Fine aggregate type *: ____________

Fine aggregate source *: ____________

Coarse aggregate type *: ____________

Coarse aggregate source *: ____________

Coarse aggregate grading *: ____________

Type of Portland Cement *: ____________

Source of Portland Cement *: ____________

The alkali content of the cement as percent potassium oxide *: ____________ %

The alkali content of the cement as percent sodium oxide *: ____________ %

Type of pozzolan or slag: ____________

Source of pozzolan or slag: ____________

Amount of pozzolan or slag: ____________

Amount of high-range water reducer or viscosity-modifying admixture: ____________

Concrete mixture proportions based on SSD Aggregates (corrected for yield):
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Sodium hydroxide added to the mixing water *: ____________ %

w/cm based on saturated surface dry aggregates *: ____________

The slump of the concrete *: ____________

The mass yield of the concrete *: ____________

The air content of the concrete *: ____________ %

Any significant features of the concrete prisms revealed during examination *: ____________

Type of storage container used *: ____________

Percent change in length day 7 specimen 1 *: __________ %

Percent change in length day 7 specimen 2 *: __________ %

Percent change in length day 7 specimen 3 *: __________ %

Percent change in length day 28 specimen 1 *: __________ %

Percent change in length day 28 specimen 2 *: __________ %

Percent change in length day 28 specimen 3 *: __________ %

Percent change in length day 56 specimen 1 *: __________ %

Percent change in length day 56 specimen 2 *: __________ %

Percent change in length day 56 specimen 3 *: __________ %

Average percent change in length day 7 *: __________ %

Average percent change in length day 28 *: __________ %

Average percent change in length day 56 *: __________ %

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)