PCC Cylinder Data Sheet Information Required 2009

Project ID: Clearly indicate the Project ID – had written or project label

Date Sampled: Enter the date the cylinders were cast

Cast By: The Full name of the person casting the cylinders must be entered. Only staff

that are Platteville HTCP certified can cast cylinders for Departmental testing.

Initials and company are not acceptable.

Ready Mix Supplier: PCC supplier and plant location {{Zignego – STH 11 Plant **

Schmitz – Oak Creek ** Zignego – on-site portable plant}}

PCC Grade: See Standard Specification requirements or QMP Special Provisions

requirements {{A ** A-FA ** Ternary }}

Class: Air Entrained or Air Entrained – High Early Strength

Cement: Content = lbs/cy ** Brand/Mill = Cement must be from an approved

WisDOT supplier ** both brand and mill must be noted

Fly Ash: Content = lbs/cy ** supplier-source-class are required

{{ LaFarge NA – Pleasant Prairie Plant “C” ** Lafarge NA - Portage Plant “C” }}

Slag: Content = lbs/cy ** Source-supplier-class are required

Total Aggregate: Total weight of dry aggregate

Fine Aggregate %: %fine aggregate of total aggregates {{See specification limits per

the Standard Specifications or QMP Special Provisions }}

Aggregates: Source(s) must be from a WisDOT approved source ** See SE Region

aggregate list in the Project Materials folder ** copy name as it is listed

Admixtures: Content= oz/cy ** air entraining-water reducing-set retarder – products

must be from a WisDOT approve source ** both brand name and type must be noted

{{ Axim – Catexol AE 260 ** WR Grace – WRDA-82 ** Sika-Plastocrete 161}}

Net Water: Total free water gal/cy

Slump: Slump of concrete represented by cylinders {{ 3 ¼” ** 2 ½” }}

Net Air: Air content of concrete represented by cylinders {{ 6.0 ** 5.5% }}

Type of Placement: Please indicate {{ Misc – Ancillary ** Pavement ** Structure }}

Sample Location: Station or location of PCC placement – be specific

{{Sta. 12+23 C&G RT ** Str. B-12-345 West Abutment – first pour }}

QC-lot & QC-Sublot Numbers: The lot and sub-lot numbers must be entered

** check with the QC personnel and quality control plan for lot locations and

numbering sequence

Cylinder Names: project staff determines a numbering or lettering system that identified

the cylinders cast on a continuing basis

Remarks: Any pertinent remarks about the casting of the cylinders, site conditions,

temperatures, weather, etc.

WisDOT approved lists may be found at:

PCC Cylinder Data Sheet ** Information Required ** 2009