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Weekly Quality Control Report SAMPLE Page 2
Name of Lab:
Testing Lab, Inc.
Address:
511 Testing Lab Road
The Quality People Since 1912
City, State, Zip:
Phoenix, AZ 85234
Phone #:
xxx-xxx-xxxx
Fax #:
xxx-xxx-xxxx
WEEKLY QUALITY CONTROL REPORT
ADOT TRACS NUMBER:
H447400C – Route 66
LAB PROJECT NUMBER:
2557JTT309
DATE:
November 12-16, 2008
REPORT NUMBER:
8
Date: Monday, November 12
Station 746 + 74: Performed density testing on structural backfill on all three stations.
Station 746 + 69:
Station 746 + 28:
Date: Tuesday, November 13
Station 826 + 28: Performed density testing on four sections on structural backfill.
Date: Wednesday, November 14
Station 826 + 28: Performed density testing on structural backfill.
Date: Thursday, November 15
Station 826 + 28: Performed density testing on subgrade on all four stations.
Station 826 + 29:
Station 826 + 27:
Station 826 + 30:
Date: Friday, November 16
R and L curb – Bloody Wash Bridge (BW)
Concrete Placement - Structures (BW) 13:00 to 16:00 –Performed slump and air
content tests - see p.5
Corrective Action: Provide a brief explanation of any corrective action taken. Add documentation,
if pertinent, at the end of this report.
Taken
X
Not Applicable
Signature:
Reviewed by:
Thom Harvard
Send to: Email:
Email:
somemore@azdot.gov