AL HARSOOSY TRAD&CONT CO.

AHTC/QP/11/L/20
LABORATORY DIVISION REV: 00

NIMR Date 01.01.2005

Test Requisition-ConcretCubes
From Target LLC Date

Nimr

Client Ref:- Target/con/

Details of concrete cubes are given below

1 Name of client/contractor OGC/Target LLC

2 Contract No OGC/14/2017
3 Project EPC Work for permanent staff accomadation
4 Location Nimr
5 Concrete Grade
6 Type of cement OPC
7 Compaction Method Compacting bar
8 Curing Methiod Curing Tank
9 Slump
10 Ambent Temp.
11 Temp. of Conrete

Age in
Serial No Code No Date of Cast Date of Test Cube Size
Days
1 OGC-TGT-N- 7days 150x150x150 mm
2 OGC-TGT-N- 7days
3 OGC-TGT-N- 28days
4 OGC-TGT-N- 28days
5 OGC-TGT-N-

Remarks

Signature: Name&Designation:

Laboratory Use

Received on:
Lab Ref:-

Certificate No:……………………………… for Laboratory Division

Report Received by 07 days 28 days

Signature:-
Name:-
Date:-