PRE / PRO Split Sample Test Report
INSTRUCTIONS / Once testing has been completed, report results on both pages of this form and mail to:
Illinois Department of Transportation / Central Bureau of Materials
126 East Ash Street
Springfield, IL 62704-4766
ATTN: Concrete Products Engineer
SAMPLE IDENTIFICATION / Producer/Supplier Name:
Producer/Supplier Location:
Contact Name:
Contact Telephone #:
Producer/Supplier ID #:
Producer/Supplier Sample #: / PRE / PRO
Date Sampled:
Bill of Lading #:
Fly Ash Class: / C / F
SAMPLE TAKEN FROM / Barge #: / Truck #:
Railroad Car #: / Storage Silo #:
REPORT OF CHEMICAL ANALYSIS / TEST OF CHEMICAL ANALYSIS — AASHTO M 295 (ASTM C618)
(Class C) / (Class F)
Silicon dioxide (SiO2), %:
Aluminum oxide (Al2O3), %:
Iron oxide (Fe2O3), %:
Total sum (SiO2+Al2O3+Fe2O3), %: / (50.0 min) / (70.0 min)
Sulfur trioxide (SO3), %: / (5.0 max) / (5.0 max)
Moisture content, %: / (3.0 max) / (3.0 max)
Loss on ignition, %: / (5.0 max) / (5.0 max)
Magnesium oxide (MgO), %:
Calcium oxide (CaO), %:
Sodium oxide (Na2O), %:
Available alkalies as Na2O+0.658 K2O, %: / (1.5 max) / (1.5 max)
REMARKS:
Note: All specification requirements are shown in italics.
REPORT OF PHYSICAL ANALYSIS / FINENESS BY 45 µm (NO. 325) SIEVE — AASHTO T 192 (ASTM C 430)
Amount retained: / % / (34% max)
COMPRESSIVE STRENGTH — AASHTO T 106 (ASTM C 109)
Control Mixture:
7 Day Strengths / 28 Day Strengths
1 / lbs. / N / 1 / lbs. / N
2 / lbs. / N / 2 / lbs. / N
3 / lbs. / N / 3 / lbs. / N
psi / kPa / psi / kPa
Test Mixture:
7 Day Strengths / 28 Day Strengths
1 / lbs. / N / 1 / lbs. / N
2 / lbs. / N / 2 / lbs. / N
3 / lbs. / N / 3 / lbs. / N
psi / kPa / psi / kPa
7 Day Strength Activity Index (%): / (75% min)
28 Day Strength Activity Index (%): / (75% min)
Water Requirement (% of Control): / (105% max)
TEST OF SOUNDNESS — AASHTO T 107 (ASTM C 151)
Initial Reading: / mm / in.
Final Reading: / mm / in.
Expansion (%): / (0.8% max)
DENSITY:
REMARKS:
Notes: All specification requirements are shown in italics.
Test results may be reported in either SI or English units; however, SI units are preferred.
Printed 9/5/2017Page 1 of 2BMPR CM20 (09/05/17)