NO.

OF SAMPLES
PROJECT MIC STRUCTURE DATE SAMPLED
TAKEN, PCS.

23G00056 SHANE PCCP 4/2/2025 3

24GG0151 SLOPE PROTECTION 4/2/2025 3
22G00140 PCCP 4/3/2025 6
MYRA MICMIC BEAM/COLUMN 4/4/2025 3
22G00140 RETAINING WALL 4/4/2025 3
PPA CONCRETE PILES L9 4/4/2025 9
PPA CONCRETE PILES L8 4/4/2025 9
24GG0151 SLOPE PROTECTION 4/4/2025 3
24GG0151 SLOPE PROTECTION 4/5/2025 3
22G00140 RETAINING WALL 4/5/2025 3
23G00056 PCCP 4/5/2025 6
23G00056 PCCP 4/6/2025 3
PPA CONCRETE PILES L12 4/5/2025 9
24GG0151 SLOPE PROTECTION 4/7/2025 3
24GG0151 SLOPE PROTECTION 4/8/2025 3
22G00140 RETAINING WALL 4/9/2025 6
22G00140 PCCP 4/9/2025 6
24G00097 LW 4/8/2025 6
22G00140 RETAINING WALL 4/8/2025 3
22G00140 RETAINING WALL 4/8/2025 3
24GG0151 SLOPE PROTECTION 4/11/2025 3
24G00097 L8 4/12/2025 6
- RCPC 4/12/2025 3
22G00140 B/F 4/12/2025 6
22G00140 RETAINING WALL 4/12/2025 3
24G00097 L7 4/15/2025 6
23G00071 P/W & RWH 4/15/2025 6
23G00095 L/C 4/15/2025 3
24GG0151 B 4/16/2025 3
24G00112 PCCP 4/22/2025 3
- RCPC 4/21/2025 3
23G00095 L/C 4/23/2025 3
- CTB 4/24/2025 3
24G00097 L9 4/22/2025 3
24G00015 PCCP 4/22/2025 3
23G00140 BC / RW 4/23/2025 3
23G00140 PCCP 4/24/2025 3
24G00097 L10 4/24/2025 6
- CTB 4/25/2025 3
24G00097 L12 4/24/2025 6
22G00028 PCCP 4/25/2025 6
24GG0151 SLOPE PROTECTION 4/24/2025 3
22G00140 RETAINING WALL 4/25/2025 3
22G00140 RETAINING WALL 4/26/2025 3
22G00140 PCCP 4/26/2025 3
24G00015 PCCP 4/26/2025 6
22G00140 B/P 4/26/2025 3
PPA CONCRETE PILE L3 4/28/2025 9
24G00097 L6 4/28/2025 6
24G00112 PCCP 4/28/2025 3
 STATUS OF SAMPLES
BREAK, DISPOSED, CURING TANK
 NO. OF SAMPLES TAKEN,
PROJECT MIC STRUCTURE DATE SAMPLED
PCS.
CONCRETE SAMPLES INVENTORY LOG SHEET
DATE:
NO. OF CYLINDER IN THE CURING TANK =
NO. OF BEAM IN THE CURING TANK =
NO. OF EXPIRED CYLINDER IN CURING TANK =
NO. OF EXPIRED BEAM IN CURING TANK =

SAMPLE TYPE QUANTITY QUANTITY AGE TO BE BREAKING

PROJECT ID IN-CHARGE STRUCTURE SERVICE VEHICLE
CYLINDER/BEAM (IN) (OUT) TESTED (DAYS) PLACE
EXPIRED SAMPLES RECORD
DATE:

SAMPLE TYPE
PROJECT ID IN-CHARGE DATE SAMPLED STRUCTURE QUANTITY AGE IN DAYS REMARKS
CYLINDER/BEAM