Test Request Form

Compression Tests on Concrete Cubes

Client & Project Information

TL Client Name

Address

Tel./Fax No.
Mobile No.
email ID
Project
Project Client
Contractor
Consultant
Any other information to
incorporate in test report
Sample Information
Concrete Supplier Compaction Method
Mix Grade Sampling Method
Slump (mm) Site Curing Method
Air Content Sampling Location
Sampled By Nominal size (mm)
Sampling Cert. Ref Cubes Delivered By
Requested test method BS EN 12390-3 Total Number of cubes

Pour Location

Sl. No. Client Cube Ref. Casting Date Requested Test Age Test Date
1

Test Witness Required? Yes No

Requested By: Signature

Date:

Form No.#TL-TRF-003 Issue 1 Issued on 01/04/2022 Approved by Lab Manager