REPUBLIC OF THE PHILIPPINES DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS OFFICE OF THE SECRETARY MANI LA

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1 REPUBLC OF THE PHLPPNES DEPARTMENT OF PUBLC WORKS AND HGHWAYS OFFCE OF THE SECRETARY MAN LA ah f /'3 opuf! (z..-)...l'f- ""P 07 November 1996 DEPARTMENT ORDER ) NO 17 7 ~ Seres of 1996 ~) \ '\\-q SUBJECT: Standardzaton of Materals Test Reports n order to ensure unformty and consstency n reportng the results of tests of samples of constructon materals used n DPWH projects, all Regonal and Dstrct Offces are here drected to adopt the attached standard materals test report formats (Annex A) n the preparaton of offcal test reports. Henceforth, test reports usng the prescrbed formats may be manually- or computer-generated and should bear the offcal seal of the Regonal/Dstrct Offce. Where the offce has the capablty to adopt the computerbased system, the Userls Manual on the Materals Testng System (MTS) shall serve as gude n the operaton of the system. MTS users may undergo a one-week on-the-job tranng at the Bureau of Research and Standards on a pre-arranged schedule bass. For complance. f4~lar Secretary Attachment: As stated. ;n, ;'

2 Department Order No. J'11 Seres of 1996 ANNEX A STANDARD MATERALS TEST REPORT FORMS Form No. Test ReporL Form.---~ MTS-01 Sample Card MTS-02 MTS-03 MTS-04 MTS-0!5 MTS-06 MTS-07 MTS-08 MTS-09 MTS-10 MTS-ll MTS-12 MTS-13 MTS-14 MTS-l!5 * Test Report on Concrete Aggregate Test Report on Sol Aggregate Test Report on Asphalt Cement Test Report on Emulsfed Asphalt Test Report on Cut-Back Asphalt Test Report on Btumnous Mxes Test Report on Concrete Sample Test Report on Renforcng Steel Test Report on Concrete Masonry Unts Test Report on Renforced Concrete Ppe Test Report on Portland Cement Test Report on Reflectorzed Traffc Pant Test Report on Concrete Core Test Repor t on * MTS-l!5 s ntended for Mscellaneous Materals. A17/standmat

3 MTS Form No. 01 Republc of the Phlppnes (NAME OF OFFCE) SAMPLE CARD Knd of materal Sample dentfcaton Quantty represented Orgnal source Owner/Suppler Sampled/Cast (Name) (Cty/Provnce) ~ ~ ~ (Gve accurate locaton possble) (Name of authorzed representatve) (Sgnature)...-'--'-~ ~ (Desgnaton) Test desred ~ ~-----~..~-.--,.--~ ~..- - Governng Specfcaton: ~ ~~ Shpped Send test results to ~------~.~, (Name and Desgnaton) REMARKS Bll Charge to Submtted ~ ~ (Malng Address) ~ ~ ~ (Name and ) (Sgnature) ~ ~ (Malng Address) ~-~--.= ~ ~...-, ~ Receved Due NOTED: (Head of Offce) (Desgnaton) '7

4 Republc of the Phlppnes (NAME OF OFFCE) MTS Form No. 02 TEST REPORT ON CONCRETE AGGREGATE Knd of materal Sample dentfcaton Quantty Sampled represented at Orgnal source Spec's. tem No. Sampled Submtted {Name & Desgnaton} {Offce} { Receved}. ~ ---- TESTS Seve Analyss: Cummulatve % passng Seve Sze, mm REQUREMENTS RESULTS! Fneness Modulus Abrason Loss {LAM}, % Fractured Face, % Bulk Specfc '\Sravty Absorpton, % Frable Partcle Clay Lumps Soundness {N,,\SO+>, % loss Dry Unt Mass, kg/m : Loose Rodded Mortar Strength, % ~rganc mpurtes REMARKS: L Tested : ' Checked : Wtnessed : (MQCH Dv/Sect. Head) {Desgnaton} (Head of Offce) (Desgnaton)

5 MTS Form No. 03 Republc of the Phlppnes (NAME OF OFFCE) TEST REPORT ON SOL AGGREGATE Knd of materal Sample dentfcaton Quantty represented Sampled at Orgnal source Suppled Spec's. tem No. Sampled Submtted ( Receved) ~ TESTS Seve Analyss: Cummulatve % passng: Seve Sze, mm + REaUREMENTS ==fres UL TS ~ Lqud Lmt Plastcty ndex Abrason Loss (LAM), % Mosture Densty Relatonshp: Max. Dry Densty, Kg/cu. m Optmum Mosture Content, % Calforna Bearng Rato: J CBR value at MOD, % Swell, % ~ ~---~ ~ !! REMARKS: ~~.md ~ ~.,--.~ Checked : (MaCH Dv/Sect. Head) Wtnessed : (Desgnaton) --~ ~ ~ [ (Head of Offce) (Des~naton)

6 MTS Form No. 04 Republc of the Phlppnes (NAME OF OFFCE) TEST REPORT ON ASPHALT CEMENT Sample dentfcaton Quantty represented Orgnal source Grade Suppled Spec's. tem No. Sampled Submtted ( Receved) ~ TESTS : O'gnaJ Sample Penetraton 25 C, 100 g, 5s Flash Pont, Cleveland Open Cup, C Ductlty, 25 C, 5 cm/mn, em Solublty n trchloroethylene, % Loss on heatng, % f REQUREMENTS --~l R-E-S-U--L TS..~~! Resdue: Penetraton, % of orgnal Ductlty, 25 C, 5 cm/mn, em Spot Test, 25% xylene-heptane Specfc Gravty... RE-MA--R-K-S-: ~.~ Tested : Checked : Wtnessed : (MQCH Dv/Sect. Head) (Desgnaton~). (Head of Offce)..tDesgnClt~n)

7 MTS Form No. 05 Republc of the Phlppnes (NAME OF OFFCE) TEST REPORT ON EMULSFED ASPHALT Sample dentfcaton Quantty represented Type and Grade Orgnal source Suppled Spec's. tem No. Sampled Submtted ~------~--- --~~- ( Receved),- j Emulson: TESTS Vscosty (Saybolt-furol),25 C, s Storage Stablty, % Cement Mxng, % Seve Test, % Resdue dstllaton, % Partcle charge, % Specfc Gravty Resdue: Penetraton, 25 C, 1oog, 5's Ductlty, 25 C, 5cm/mn., cm Solublty n trchloroethylene, % REMARKS: Tested : Wtnessed : ~ ' L~~ ~ Checked : REQUREMENTS (MQCH Dv/Sect. Head) [ ~~ RESULTS~ ~~ (Desgnaton) ~ (Head of Offce) {!J~gnatonJ

8 MTS Form No. 06 Republc of the Phlppnes (NAME OF OFFCE) TEST REPORT ON CUT-BACK ASPHALT Sample dentfcaton Quantty represented Type and Grade Orgnal source Suppled Spec's. tem No. Sampled Submtted ( Receved) TESTS Orgnal Sample Vscosty, Knematc at 60 C, centstokes Specfc Gravty Flash Pont, Tag-Open Cup, c Dstllaton Test: Dstllate, % volume of total dstllate to ( REQUREMENTS ==r R~ESULTS ~ --~! to 225 C to 260 C to 315 C Resdue dstllaton, % Resdue Test: Penetraton, 25 C, 100 g, 5s Ductlty, 25 C, 5cm/mn, cm Solublty n trchloroethylene, % Spot Test, 25% xylene-heptane REMARKS: -J r---~ c-h-e-c-ke-d-b-y-: Tested : (MQCH Dv/Sect. Head) (Desgnaton) Wtnessed : (Head of Offce) l~sgnclt()~!

9 n n n JQ~sgn~!~1l1 n U.~ MTS Form No. 07 Republc of the Phlppnes (NAME OF OFFCE) TEST REPORT ON BTUMNOUS MXES Sample dentfcaton Quantty represented Orgnal source Suppled Spec's. tem No. Sampled Submtted ( Receved) TESTS REQUREMENTS RESULTS Seve Analyss: Cummulatve % passng (After Extracton) Seve Sze, mm Btumen Content, % wt. of agg. Bulk Specfc Gravty mmerson/compresson Test: Dry Stablty, kpa Wet Stablty, kpa ndex of Retaned Strength, % ----'--~--1 REMARKS: uc-h-ec-k-e-d-b-y-: Tested : Wtnessed : f (MQCH Dv/Sect. Head) (Desgnaton) (Head of Offce) n! J

10 MTS Form No 08 Republc of the Phlppnes Department of Publc Works (NAME OF OFFCE) and Hghways TEST REPORT ON CONCRETE SAMPLE Type of Specmen Spec's. tem No. Class Source of mxture Sampled Submtted ( Receved) PART OF STRUCTURE AGE STRENGTH, MPa LAB. NO. SAMPLE or DATE N FLEXURAU DENnFCA non STA non REPRESENTED SAMPLED DAYS COMPRESSVE Tested : Checked : Wtnessed (MQ CH Dv/Sect Head) (Desgnaton) ~ Head of Offce) ~----'-----~--'-~ "-'-"-"..---'-'- ' '~'-"-"--"--'--"---"- " (De~gnat(m)

11 ". Republc of the Phlppnes (NAME OF OFFCE) MTS Form No. 09 TEST REPORT ON RENFORCNG STEEL Knd of materal Sample dentfcaton Quantty represented Orgnal source Suppled Spec's. tem No. & Grade Sampled Submtted ( Receved) TESTS REQUREMENTS RESULTS Tensle Propertes: Yeld Pont, MPa Tensle Strength, MPa Elongaton, % Bendng Propertes: Degree bent, 180 degrees Actual Unt mass, kg/m Varaton n mass, % Deformaton, mm : Spacng, average Heght, average Gap Phosphorous Content, % -R~E~M~A~R~K~S: ----, ~ ~" Checked : Tested :, Wtnessed : No crackng on outsde bent porton (MQCH Dv/Sect (Desgnaton) Head) "-1 l (Head of Offce) (Desgnaton) ----'

12 MTS Form No. 10 Republc of the Phlppnes (NAME OF OFFCE) TEST REPORT ON CONCRETE MASONRY UNTS Type of Unt Quantty represented Sampled at Orgnal source Suppled Proposed use Spec's. tem No. Sampled (Name & Desgnaton) Submtted (Name & Desgnaton) ( Receved) SAMPLE. D. TESTS Dmenson Measurement mm Wdth Length Weght r REQUREMENTSU RESULTS Comoressve Strenllth MN/m 2 ndvdual Average Unt of three (3) unts REMARKS: Absorpton, % (Avg. of 3 unts) Mosture Content, % (Avg. of 3 unts) ~ lchecked Tested : : (MQCH Dv/Sect. Head) (Desgnaton) Wtnessed : ---' (Head of Offce) (De~~"!'!~~...

13 MTS Form No. 11 Republc of the Phlppnes (NAME OF OFFCE) TEST REPORT ON RENFORCED CONCRETE PPE Knd and class Quantty represented Orgnal source Spec's. tem No. Sampled Submtted (Name & Desgnaton) ( Receved) TESTS REQUREMENTS RESULTS J~ ote: D-oad s expressed n newton per lnear meter per mm of dameter. REMARKS: Tested : Wtnessed : Checked : (MQCH Dv/Sect. Head) (Desgnaton) (Head of Offce) L ~.~. ~..~~~~.~ ~ ~ -'-. ~.. ~Qesg~Cl~()'!L ~. u ~

14 u MTS Form No. 12 Republc of the Phlppnes (NAME OF OFFCE) TEST REPORT ON PORTLAND CEMENT Sample dentfcaton Quantty represented Manufactured Brand Spec's. tem No. Sampled Submtted ( Receved) TESTS Magnesum Oxde (MgO), % Sulfur Troxde (SO ), % Loss on gnton, % nsoluble Resdue, % Ar Content of mortar, % Fneness: Amount passng mm seve, % REQUREMENTS 6.0 Max. 3.0 Max. 3.0 Max Max Max RESULTS ] Autoclave Expanson, % 0.8 Max. Vcat Test: Tme of settng, mnutes 45 Mn. Tme of settng, mnutes 375 Max. Compressve Strength, Avg. mortar cubes, MPa 3 days 12.4 Mn. ' 7 days 19.3 Mn. 28 days 27.6 Mn. Specfc Gravty REMARK~ ""----~ ""---,-~~ 'REMARKS: n, Tested : ' -,- ~,, ' ' Checked : l Wtnessed : (MQCH Dv/Sect. Head) (Desgnaton) (Head of Offce),,,,,,JDe~gn~~~~L,, n,

15 MTS Form No. 13 Republc of the Phlppnes (NAME OF OFFCE) TEST REPORT ON REFLECTORZED TRAFFC PANT Knd of materal Sample dentfcaton Quantty represented Orgnal source Suppled Spec's. tem No. Sampled Submtted ( Receved) ~ TESTS REQUREMENTS RESULTS A. Physcal Propertes :! 1. Condton n contaner 2. Specfc Gravty 3. Dryng Tme: No pck up, mn. B. Pant Composton: 1. Total Dry Solds 2. (Pgment & Glass Beads, %) 3. Extenders ( dfference), % 4. Non-volatle content, % weght of vehcle 5. Glass Beads, % a. Weght, g/l b. Amount of True Spheres, % c. Gradng, % Passng: mm mm mm 1 REMARKS: Tested : Checked : Wtnessed : l - (MQCH Dv/Sect. Head) (Desgnaton) ~.--~ (Head of Offce) J... (Desgnaton)

16 ..'.,..., u.. u.. O'...~" MTS Form No. 14 Republc of the Phlppnes (NAME OF OFFCE) TEST REPORT ON CONCRETE CORE Type of Specmen Spec's. tem No. Class Source of mxture Sampled Submtted ( Receved) PART OF STRUCTURE AVERAGE STRENGTH LAB. NO. SAMPLE or THCKNESS COMPRESSVE DENllFCA 110N STA 110N REPRESENTED (em) MPa ~----~~ Checked : Tested : Wtnessed : (MQCH Dv/Sect. Head) (Desgnaton) (Head of Offce) t[)~l>gn!t()1"ll...~ 'w" "~ n"" --,-.--'.-, !,'

17 Republc of the Phlppnes (NAME OF OFFCE) MTS Form No TEST REPORT ON Knd of materal Sample dentfcaton Quantty represented Orgnal source Suppled Spec's. tem No. Sampled Submtted ( Receved) REMARKS: Tested : --~~--,~~-~~~~ " " Checked : Wtnessed : (MQCH Dv/Sect. Head) (Desgnaton) (Head of Offce) ---1Q~sgn~~n)