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