Test Request Form: Client Test Request No. (required) Client Details Client (required) Phone No.(required) Email Contact Name (required) Mobile Fax Postal Address Line 1 (required) Postal Address Line 2 City / Town (required) Postcode (required) State (required) Invoice Details (if applicable) Project Details Project Name (required) Lot No. (required) Road (if applicable) Lot Details (if applicable) SLK/Chainage (if applicable) Street No. (required) Street Name (required) Suburb (required) Postcode (required) Requested Date & Time on Site (required) Sampled by Client (required) YesNo Date Sample Provided by Client Tests Required Please number the appropriate field(s) Standards (required) Main Roads StandardsAustralian Standards No. of Tests Required Concrete Slump & Cylinders Other - Notes in Comments Aggregate Particle Size Distribution Average Least Dimension Flakiness Index Other - Notes in Comments Soils Bulk Density Sampling Moisture Content: Convection Liquid Limit: Casagrande 4 point Liquid Limit: Casagrande 1 point Liquid Limit: Cone Penetrometer 4 point Liquid Limit: Cone Penetrometer 1 point Plasticity Index Linear Shrinkage Particle Size Distribution Maximum Dry Compressive Strength Standard Dry Density/ Moisture Content Modified Dry Density/ Moisture Content California Bearing Ratio (Remoulded) Unconfined Compressive Strength Permeability Calcium Carbonate Other - Notes in comments Field Penetration Resistance: Perth Sand Penetration resistance Dynamic Cone Layer Thickness Texture Depth Determination of Field Density (NDM) Other - Notes in comments Classification AS 2870 - 2011 Site Classification AS 1726 - 1993 Geotechnical Site Investigations Other - Notes in comments Potential Conflict of Interest (required) YesNoMaybe if applicable refer to in comments Comments
