Field Sample of Portland Cement Concrete Sample Card TL-502Use the print feature in your browser or open the print dialog to print a Field Sample of Portland Cement Concrete Sample Card TL-502.
State of California - Department of Transportation
Field Sample of Portland Cement Concrete
Sample CardTL-0502 (REV. 9/13)
Limits of Work:
Location of Pour:
Res. Eng. or Supt:
Structures Dept. Rep.:
Source of Materials
Field Sample No.
Size of Specimen - Inches
Cement - LB/CY
Water - LB/CY
Yards Placed at Time of Sampling:
Remarks: (Mandatory - Please attach approved mix design)