231736_20240102_CFI_0000233006Client:
Project:
Technician:
Date:
Weather:
1471 ST RT 9 LLC
1471 ST RT 9, Lake George NY
Sunny
Tuesday, January 2, 2024
Brian Sweet
Client Rep.:Russ Fadan
Temperature: AM 32-40 °FPM
Arrival Time:
3:45 PM
1:30 PM
Project Number:
Contractor:
Contractor Rep.:
231736
J.D. Boucher Concrete
Jeff Boucher Departure Time:
Concrete Field Report (ASTM C31, C143, C231 or C173, C1064, C138; AASHTO T23, T119, T152 or T196, T309, T121)Page 1 of 1
3348 Route 208, Campbell Hall, NY 10916 ■ Phone: 845-496-1600 ■ Fax: 845-496-1398
12960 Commerce Lake Dr #14, Ft Myers, FL 33913 ■ Phone: 239-204-4569
1813 State Route 7, Harpursville, NY 13787 ■ Phone: 607-235-2006
877 US-4, Schuylerville, NY 12871 ■ Phone: 518-372-4067
Report Reviewed By: Jack Harrison
Mix Details
Supplier Strength Cylinder Type Initial Curing Method Mix Design
Pallette Stone Corp, Saratoga Springs 3500 PSI @ 28 Days 4 x 8 Cylinder Curing Box 35000
Project Specifications (Provided Verbally on-site by Jeff Boucher of J.D Boucher)
Structure Type Slump Slump w/MRWR Slump w/HRWR Air Content Unit Weight Mix Temp Maximum Mix Time
Foundation Walls 5.00 - 7.00 in.4.0 - 7.0 %
Placement Information
Load
Num.
Truck
Num.
Ticket
Num.
Cubic
Yards
Total
Yards
Time
Loaded
Time
Arrived
Time
Discharged
Time
Completed Slump Air
Content
Unit
Weight
Mix
Temp
Air
Temp
H20
Added
Num
Cyls Location
1 4525 15058 9 9 1:54 PM 2:27 PM 2:31 PM 3:02 PM 7.00 in.6.2 %62 °F 39 °F 6
North wall & 1st 15’ of
west wall from the north
heading south
2 4904 15059 9 18 2:23 PM 3:00 PM 3:02 PM 3:40 PM
West wall from 15’ south of
NW Corner & 10’ from SW
Corner to the east
All tests within specifications.
General Location of Work:
North and west foundation walls
Technician Signature:Date:Tuesday, January 2, 2024
ACT-CFI-1, Rev 2, 10/13/20The results identified in this report relate only to the items sampled/tested.
No representation is made that materials or items not sampled and tested will produce the same or similar results.
This report shall not be reproduced, except in full, without the prior written approval of Advance Testing Company.