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CONCRETE TEST CUBE DATA FORM Client Site Order No. Site Contact Site Tel. No Site E-mail Please accept this form as an instruction to test the concrete cubes detailed below with reference to the Conditions of Testing overleaf Signed Total No of cubes on this form Print ACS REF Cube / Set Ref Date Pour Location Cast dd/mm/yy Time hh mm Sampled Collection Id Age for Test Made Concrete Specification By Method of Compaction Head Office Unit 14 Blackhill Road West Holton Heath Trading Park Poole Dorset BH16 6LE Condition on receipt Saturated Moist Dry Fresh Concrete Polystrene Mould Polythene Bag Cube Size 150 mm 100 mm Other Sampling / Curing Certificate Yes Attached No Quality Testing Materials Consultancy to the Construction Industry Cube Mould Calibration Certificate Yes Attached No Tel Fax 01202 622858 01202 625045 Cubes received by Conditions of Testing test cube specimens This form is supplied for the convenience of the customer and remains the property of ACS Testing Limited. It shall be used for the submission of test cube specimens to ACS Testing Limited. Test cube specimens are accepted and stored before test at the Clients risk. Test cube specimens due for testing on Weekends or Public Holidays shall be tested on the nearest working day following the initial requested test date. An extra charge shall be levied for testing which must be conducted on Weekends or Public Holidays. Test cube specimens due for testing on Weekends or Public Holidays shall be tested on the nearest working day following the initial requested test date. An extra charge shall be levied for testing which must be conducted on Weekends or Public Holidays. Failed test cubes will only be retained for 14 days after test unless otherwise directed* Unless written instructons to the contrary are received prior to testing Spare test cubes collected will be retained and tested at 56 days when associated test results are suspect. Spare test cubes will otherwise be disposed of without being tested* Spare test cubes shall be charged at the basic test fee as per all other cubes whether tested or not. ACS Testing handle all specimens with care and undertake curing of test cube specimens from time of receipt at the laboratory to the relevant British Standards It is deemed to be the Clients responsibility to submit all specimens in a condition suitably packaged for transportation* The Terms and Conditions of ACS Testing shall apply at all times copy available upon written request. Test cube specimens due for testing on Weekends or Public Holidays shall be tested on the nearest working day following the initial requested test date. An extra charge shall be levied for testing which must be conducted on Weekends or Public Holidays. An extra charge shall be levied for testing which must be conducted on Weekends or Public Holidays. Failed test cubes will only be retained for 14 days after test unless otherwise directed* Unless written instructons to the contrary are received prior to testing Spare test cubes collected will be retained and tested at 56 days when associated test results are suspect.