INSPECTION AND TEST REPORT FOR ROAD AND PAVING. Area / Location : Drawing No. : Rev. :
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1 Italian-Thai Development Public Co., Ltd. INSPECTION AND TEST REPORT FOR ROAD AND PAVING JOB NO. Area / Location : Drawin No. : Rev. : Pre - Check of Pavin W/H Description S U Remarks Has foundation Layer been inspected and accepted? Inprocess Inspection 1 Ground Condition 1.1 Vusual Check 1.2 Elevation 2 Form Work : Check to Thick of Pavin 3 Welded Wire Fabric 4 Misc. Foundation on Pave 5 Joint 5.1 Expansion Joint 5.2 Contraction Joint 5.3 Isolation Joint 6 Concretin 7 Finish Surface 7.1 Elevation 8 Curin 8.1 of Finish 9 SBST Shoulder NCR No. Measurin and Test Equipment Name Serial No. Calibration due date Final Inspection : SUBCON : CONTRACTOR : CLIENT : Name & Sinature : :
2 Italian-Thai Development Public Co.,Ltd. Italian-Thai Development Public PTT PHENAL PROJECT SLUMP CONTROL RECORD Plant no. Location Work Title Transit Concrete Structure Initial Plant Job Site no. Code Name Slump Slump Time Slump Time Remark
3 Italian-Thai Development Public Co., Ltd. CONCRETE COMPRESSIVE STRENGTH TEST JOB NO. Project Name : Area / Location: REF. SPEC. / DWG. NO. : QUALITY SPECIFIED PROPORTION AGES OF SPECIMEN SPECIMEN NO AVERAGE NAME OF LABORATORY COMPRESSIVE STRENGTH RATIO (WATER/ CEMENT) DAYS SLUMP AGGREGATE CONTENT TEMPERATURE SLUMP TEST OF FRESH CONCRETE mm % CEMENT WATER SAND COARSE AIR CONTENT MAX. SIZE OF AGGREGATE TESTING COMPRESSIVE STRENGTH AIR CONTENT WEIGHT OF VOLUME PER CUBIC METER % % K/m 3 K/m 3 K/m 3 K/m 3 SAMPLING WEIGHT (Cm) ( C) (%) (k/m 3 ) (k) TYPE OF CEMENT ADMIXTURE COMMENTS NAME / SIGNATURE REMARKS SUBCONTRACTOR CONTRACTOR OWNER
4 Italian-Thai Development Public Co., Ltd. EARTH / ROAD WORKS INSPECTION REPORT JOB NO. Project / No. : Item : Location : Subcon. Name: DWG No. : (Rev. No.) : A. Description & Location : B. Item to be Checked : Sat. Check Unsat, Remarks 1) Material for backfill are suitable and approved. 2) SUB - GRADE - Excavation / Formation Level - Visual Inspection - Compaction test / Results 3) SUB - BASE COURSE - Excavation / Formation Level - Visual Inspection - Compaction test / Results 4) BASE COURSE - Excavation / Formation Level - Visual Inspection - Compaction test / Results 5) SURFACE COURSE - Asphalt finish Level - Dimension check 6) Surface & Cleanin Condition 7) Road and Safety sin (If required.) NAME / SIGNATURE REMARKS SUBCONTRACTOR CONTRACTOR OWNER
5 Italian-Thai Development Public Co., Ltd. EXCAVATION INSPECTION REPORT JOB NO. Project / No. : Item : Location : Subcon. Name : DWG No. : (Rev. No.) : 1) The work site is cleared. Item To be checked Sat. Check Unsat, 2) All rass and weeds includin roots are stripped and removed 3) Excavation is performed to the lines rades and slopes as drawin. 4) Slopes of all excavations are cut true and straiht and loose stones and boulders shall be removed in area. 5) Excavation is made below the elevation level indicated on the desin drawin 6) Excavation is kept free of water at all times until completion of construction or backfillin. 7) No permanently exposed cut is steeper than two horizontal to one vertical. 8) Finish surfaces of drainae ditches, includin the free of all slopes to a reasonably smooth and compact. NOTE : NAME / SIGNATURE REMARKS SUBCONTRACTOR CONTRACTOR OWNER
6 Italian-Thai Development Public Co., Ltd. FIELD DENSITY TEST (ASTM D 1556) : JOB NO. : : Lab Test No. Sample Description Layer Required % Compaction Tested By Max DD t/m. 3 OMC % Checked By Station Tested Station Represented CALIBRATION FOR SAND IN FUNNEL km. km. to km. (1) Initial Wt. of Sand + Apparatus. (2) Final Wt. of Sand + Apparatus. (3) Wt. of Sand in Funnel 1-2 = 3. WT OF SOIL TAKEN FROM HOLE (4) Wt. of Wet Soil + Container. (5) Wt. of Container. (6) Wt. of Wet Soil 4-5=6. VOLUME OF HOLE (7) Wt. of Sand Before Test + Apparatus. (8) Wt. of Sand After Test + Apparatus. (9) Total Wt. of Sand Used 7-8=9. (10) Wt. of Sand Remainin in Hole 9-3=10. (11) Unit Wt. of Sand t/m 3 (12) Vol. of Hole 10/11=12 cm 3 MOISTURE CONTENT Can No. (13) Wt. of wet Sample + Can. (14) Wt. Dry Sample + Can. (15) Wt. of Warter 13-14=15. (16) Wt. of Can. (17) Wt. of Dry Sample 14-16=17. (18) Moisture Content [(15/17)x100] = 18 % DENSITY COMPUTATION (19) Wet Density 6/12=19 t/m 3 (20) Dry Density 19(18/100+1)=20 t/m 3 (21) Maximum Dry Density t/m 3 (22) % Compaction (20/21) x 100 = 22 % NAME / SIGNATURE REMARKS SUBCONTRACTOR CONTRACTOR INSPECTOR
7 Italian-Thai Development Public Co., Ltd. INSPECTION / TEST RECORD COMPACTION TEST (DENSITY TEST) JOB NO. PROJECT NAME AREA / LOCATION REF. SPEC. / DWG. NO. : TYPE OF TEST OPT. MOISTURE CONTENT (WET) % MAX. DRY DENSITY (I'd max.) (/cm 3 ) TARGET DRY DENSITY (%) DENSITY TEST RESULTS SAMPLE TYPE OF SAMPLES MOISTURE CONTENT DRY DENSITY Rd x 100 (%) NO. W (%) rd (/cm3) rd max LOCATION OF SAMPLE REMARK NAME / SIGNATURE REMARKS SUBCONTRACTOR CONTRACTOR OWNER
8 ITALIAN - THAI DEVELOPMENT PUBLIC CO., LTD. SIEVE ANALYSIS FINENESS MODULUS AND SAND EQUIVALENT File No. : Lar Test No. : Sample No. : Report No. : Location : Semple by : Description : Test : Material To be Used for : Tested by : Sand Equivalent Sand readin: Wt. Dry Sample : Befor washin. May readin : Wt. Dry Sample : After washin. S.E.% : Loss by washin : % Loss by aievin : % Total Loss : % Grain Size Analysis Sieve Size Wt. Retained Wt. Cumulative Percent Precent Spec. mm. Inch Retained () Retained () Passin % ½ ½ / / / No No. 8 2 No No No No No No No. 200 PAN TOTAL Sinature Italian - Thai Sinature Name Name
9 ITALIAN - THAI DEVELOPMENT PUBLIC CO., LTD. FILE NO. LOCATION TYPE OF MATERIAL LAB TEST NO. USED FOR TESTED BY CBR % DRY DENSITY /cc MAXIMUM DRY DENSITY 95% OF MAXIMUM DRY DENSITY CBR AT 95% = % Yd CBR AT 100% = % Yd SIGNATURE ITALIAN - THAI SIGNATURE NAME NAME
10 ITALIAN - THAI DEVELOPMENT PUBLIC CO., LTD. LAB TEST NO. LOCATION TEST TESTED METHOD OF TEST WT. OF RAMMER VOLUME OF MOLD Density of Sample Test No. Water add. Water of Mold + Wet soil Weiht of Mold Weiht of Wet Soil Bulk Density YW Dry Density YD cc /cc /cc Moisture Content Container No. Weiht of Wet Soil + Container Weiht of Dry Soil + Container Weiht of Container Weiht of Dry Soil Moisture Content % Maximum Dry Density Optimum Moisture Cont. /cc % DRY DENSITY /cc Sinature Italian - Thai Name Sinature MOISTURE CONTENT % Name
11 ITALIAN - THAI DEVELOPMENT PUBLIC CO., LTD. GRAIN SIZE ANALYSIS BY SIEVING. (BS 1377, ASTM D422) File No. Sample : ption : Location Report No. :. : : ion : Matreials to be Used Tested By : :.
12 ITALIAN - THAI DEVELOPMENT PUBLIC CO., LTD. CALIFORNIA BEARING RATIO TEST (SWELL AND PENETRATION) Mold No. Time Elapeed Time Guae Swell Rd. in % Mold No. Guae Swell Rd. in % Mold No. Guae Swell Rd. in % Initial Sample Lant Penetration in (mm) (0.68) (1.27) (1.90) (2.54) (8.17) (8.81) (4.44) (5.08) (6.85) (7.62) (8.89) (10.16) Mold No. Provin Lond Rin Rd. Kf Ksc Mold No. Provin Lond Rin Rd. Kf Ksc Mold No. Provin Lond Rin Rd. Kf Ksc SIGNATURE ITALIAN - THAI UNIT LOAD ON PISTON KSC NAME SIGNATURE NAME PENBTRATION IN INCH
13 ITALIAN - THAI DEVELOPMENT PUBLIC CO., LTD. CALIFORNIA BEARING RATIO TEST (AASHTO T 193) File No. : Lar Test No. : Location : : Type of Material : Used for : Tested by : Compaction Mold Mold Mold No. of blows / layer Volume of mold Weiht of wet soil + mold Weiht of mold Weiht of wet soil Wet unit weiht Yw cc /cc Moisture Content Before After soakin Before After soakin Before After soakin soakin Top Bottom soakin Top Bottom soakin Top Bottom Container No. Weiht of wet soil + cont Weiht of dry soil + cont. Weiht of container Weiht of water Weiht of dra soil Moisture content % Everae moisture conten % Dry unit weiht Yd /cc After Soakin Mold Mold Mold Weiht of mold + sample Weiht of mold Weiht of sample Weiht of water absorbe Water absorbed % Sinature Italian - Thai Sinature Name Name
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