Format No.

: OTSPL/QR-1052

Omegalab Testing Services Private

Limited
A Govt. Regd. Test House
An ISO/IEC 17025-2017 Accredited Company

DRAFT TEST REPORT OF SODIUM SILICATE

JOB ID No. : …………………….…….…... Sample received on : ……..………………...…
Sample Description : …………………………….… Target Date of Completion : ……………………..…...
Job Allocated to : ……………………….…….. Analysis completed on : …………………………

Product Specification : IS 6773:2008, RA’21 Test Method : IS 6773:2008, RA’21

 Building Material (Construction Chemicals)
Req. as Per Method of
Characteristics Findings IS 6773:2008, RA’21 Test Ref to Cl.
Grade: ……………... No.

1. Total soluble silica as SiO2 percent, by mass A–3

2. Total alkalinity as Na2O percent by mass, Min A–4

3. Mass ratio of total soluble silica as SiO2 to total

A–5
alkalinity

4. Total soluble silicate (as percent SiO2 + Na2O) A–5

5. Solid content percent by mass, Max A–8

6. Specific gravity at( )°C A–7

7. Water insolubles percent by mass, Max A–9

8. pH Value at( )°C By pH Meter

The Test results relate to the sample only.

(Note: Any tests if could not be conducted: Reason................................................................................................................)

Test Done By Verified By Witnessed By