FORMAT NO.

: CV111
INSPECTION / TEST RECORD PROJECT NO.:
AFI No.:
COMPACTION TEST
REPORT NO.:
(DENSITY TEST)
DATE:

PROJECT NAME :
AREA / LOCATION : REF. SPEC. / DWG. NO. :
TYPE OF TEST :
OPT. MOISTURE CONTENT (WET) : (%)
MAX. DRY DENSITY (I’d max.) : (g/cm3)
TARGET DRY DENSITY : (%)

DENSITY TEST RESULTS

SAMPLE TYPE OF SAMPLES MOISTURE CONTENT DRY DENSITY Rd X 100(%)

NO. W(%) rd (g/cm3) rd max

LOCATION OF SAMPLE

REMARK
Inspection and Test Equipment
1) Calibration Certificate No.:
2) Model No.:
3) Serial No.:
NAME / SIGNATURE DATE REMARKS
SUBCONTRACTOR
CONTRACTOR
OWNER
REV 0

SECL-CV111-A4 SAMSUNG ENGINEERING CO.,

LTD.