CDOT Form 82 "Concrete Cylinders Compressive Strength C39, Cubes Compressive Strength C109" - Colorado

What Is CDOT Form 82?

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 82 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 82 "Concrete Cylinders Compressive Strength C39, Cubes Compressive Strength C109" - Colorado

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FS# = (Contract ID-Seq.#)
COLORADO DEPARTMENT OF TRANSPORTATION
Contract ID
Region
--
__ __ __ __ __
__ __ __ __
Concrete Cylinders Compressive Strength C39
Project Number
Cubes Compressive Strength C109
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 Item #'s
Batch Ticket #
Field Tester Name
Entrained Air
Slump
Concrete Temperature
Unit Weight
Yield
W/C Ratio
Specimen Data
Specimen for:
Mold Date
Time
Hours Initial cure
Initial cure temperature
Final Cure Method
in molds
(60-80⁰F)
Water at 73.5⁰
Design Adequacy
(68-78⁰F)
Moist Room Cure 73.5⁰
Field Cure
Location Stored in Field:
Manner of Protection:
Maintained moist and temperature by:
Date/Time Molds Removed
Field Comments:
28 Day
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 Average Compressive Strength ________ psi.
Region Lab
CDOT Field Lab
Type of specimen submitted
6 X 12
Other: ______________
Cylinders
4 X 8
Cubes
2 X 2
Cubic Yards
Previous Qty
This Sheet
Total to Date
Represented Quantity
Lineal Feet
Square Yards
Cylinder Compressive Strength Results
Maximum
Break
Diameter
% Aggregate
Load
PSI
Type
Fractured
Specimen
Break Date
Age
1 & 2
Area
1
2
3
4
5
6
7
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
Non-SMM/LIMS: Completed form in materials book
Submit completed form to: cdot_conc.lab@state.co.us
Previous forms are obsolete and may not be used
CDOT Form 82
2/18
FS# = (Contract ID-Seq.#)
COLORADO DEPARTMENT OF TRANSPORTATION
Contract ID
Region
--
__ __ __ __ __
__ __ __ __
Concrete Cylinders Compressive Strength C39
Project Number
Cubes Compressive Strength C109
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 Item #'s
Batch Ticket #
Field Tester Name
Entrained Air
Slump
Concrete Temperature
Unit Weight
Yield
W/C Ratio
Specimen Data
Specimen for:
Mold Date
Time
Hours Initial cure
Initial cure temperature
Final Cure Method
in molds
(60-80⁰F)
Water at 73.5⁰
Design Adequacy
(68-78⁰F)
Moist Room Cure 73.5⁰
Field Cure
Location Stored in Field:
Manner of Protection:
Maintained moist and temperature by:
Date/Time Molds Removed
Field Comments:
28 Day
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 Average Compressive Strength ________ psi.
Region Lab
CDOT Field Lab
Type of specimen submitted
6 X 12
Other: ______________
Cylinders
4 X 8
Cubes
2 X 2
Cubic Yards
Previous Qty
This Sheet
Total to Date
Represented Quantity
Lineal Feet
Square Yards
Cylinder Compressive Strength Results
Maximum
Break
Diameter
% Aggregate
Load
PSI
Type
Fractured
Specimen
Break Date
Age
1 & 2
Area
1
2
3
4
5
6
7
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
Non-SMM/LIMS: Completed form in materials book
Submit completed form to: cdot_conc.lab@state.co.us
Previous forms are obsolete and may not be used
CDOT Form 82
2/18