CDOT Form 83 "Concrete Beams Flexural Strength T97" - Colorado

What Is CDOT Form 83?

This is a legal form that was released by the Colorado Department of Transportation - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2018;
  • The latest edition provided by the Colorado Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of CDOT Form 83 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

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Download CDOT Form 83 "Concrete Beams Flexural Strength T97" - Colorado

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FS# = (Contract ID-Seq.#)
Contract ID
Region
--
COLORADO DEPARTMENT OF TRANSPORTATION
__ __ __ __ __
__ __ __ __
Project Number
Concrete Beams Flexural Strength T97
Project Location
Additional methods C1064, T119, T121, T152
Concrete Supplier:
CDOT Mix #
Item #
Description:
SAMPLE LOCATION AND FIELD TEST RESULTS
Placed at (Str. No. or station/lane/portion)
Material placed in Line Items #
Batch Ticket #
Field Tester Name
Entrained Air
Slump
Concrete Temperature
Unit Weight
Yield
W/C Ratio
Specimen Data
Mold Date
Time
Hours Initial
Initial cure temperature
Final Cure Method
Specimen for Design
cure in molds
(60-80⁰F)
Water at 73.5⁰
Adequacy
(68-78°F)
Moist Room Cure 73.5⁰
Field Comments:
Number of
Mark each specimen with Field Sheet # and Break Date
For Cast specimens, report cast by
Set No.
Conc. Class
Break Date
Specimens
Sample ID
Date Submitted to Lab
Specimens tested at:
Required Strength_______ psi.
Central Lab
Consultant Lab
28 day Flexural Strength ________ psi.
Region Lab
QC Field Lab
Type of specimen submitted
Beams
Other: ______________________
6 x 6
4 X 4
Cubic Yards
Previous Qty
This Sheet
Total to Date
Represented Quantity
Square Yards
Flexural Strength Results
Average
Average
Maximum
Broke Within
Broke Outside Middle
Area
Age
Width
Depth²
Load
PSI
Specimen #
Break Date
Middle Third
1
2
3
4
Beam 1
Beam 2
Beam 3
Beam 4
Individual beam measurements
Span Length
Width (b) Depth (d) Width (b) Depth (d)
Width (b)
Depth (d) Width (b) Depth (d)
_______ inches
Average width and depth
Average distance from
________ inches
_______ inches
______ inches
_______ inches
fracture to nearest support
Lab Comments:
Place IA Stamp Here:
Electronic Signature of IA Personnel:
Submitted By:
Cell Phone No:
Email:
IAT:
Email completed form to IA personnel
Upload completed form into the
SMM/LIMS:
For specimens submitted to Central Lab:
attachment icon for the sample record
Submit completed form to: cdot_conc.lab@state.co.us
Non-SMM/LIMS: Completed form in materials book
Previous forms are obsolete and may not be used
CDOT Form 83
2/18
FS# = (Contract ID-Seq.#)
Contract ID
Region
--
COLORADO DEPARTMENT OF TRANSPORTATION
__ __ __ __ __
__ __ __ __
Project Number
Concrete Beams Flexural Strength T97
Project Location
Additional methods C1064, T119, T121, T152
Concrete Supplier:
CDOT Mix #
Item #
Description:
SAMPLE LOCATION AND FIELD TEST RESULTS
Placed at (Str. No. or station/lane/portion)
Material placed in Line Items #
Batch Ticket #
Field Tester Name
Entrained Air
Slump
Concrete Temperature
Unit Weight
Yield
W/C Ratio
Specimen Data
Mold Date
Time
Hours Initial
Initial cure temperature
Final Cure Method
Specimen for Design
cure in molds
(60-80⁰F)
Water at 73.5⁰
Adequacy
(68-78°F)
Moist Room Cure 73.5⁰
Field Comments:
Number of
Mark each specimen with Field Sheet # and Break Date
For Cast specimens, report cast by
Set No.
Conc. Class
Break Date
Specimens
Sample ID
Date Submitted to Lab
Specimens tested at:
Required Strength_______ psi.
Central Lab
Consultant Lab
28 day Flexural Strength ________ psi.
Region Lab
QC Field Lab
Type of specimen submitted
Beams
Other: ______________________
6 x 6
4 X 4
Cubic Yards
Previous Qty
This Sheet
Total to Date
Represented Quantity
Square Yards
Flexural Strength Results
Average
Average
Maximum
Broke Within
Broke Outside Middle
Area
Age
Width
Depth²
Load
PSI
Specimen #
Break Date
Middle Third
1
2
3
4
Beam 1
Beam 2
Beam 3
Beam 4
Individual beam measurements
Span Length
Width (b) Depth (d) Width (b) Depth (d)
Width (b)
Depth (d) Width (b) Depth (d)
_______ inches
Average width and depth
Average distance from
________ inches
_______ inches
______ inches
_______ inches
fracture to nearest support
Lab Comments:
Place IA Stamp Here:
Electronic Signature of IA Personnel:
Submitted By:
Cell Phone No:
Email:
IAT:
Email completed form to IA personnel
Upload completed form into the
SMM/LIMS:
For specimens submitted to Central Lab:
attachment icon for the sample record
Submit completed form to: cdot_conc.lab@state.co.us
Non-SMM/LIMS: Completed form in materials book
Previous forms are obsolete and may not be used
CDOT Form 83
2/18