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