| Laboratory Test Sheet |
| AGGREGATE IMPACT VALUE |
| Site : |
| Client : |
| Job No : |
| Client Ref : |
| Date Received |
| Lab. Ref : |
| Source : |
| Supplier : |
| Specification : |
| Material Type : |
| Aggregate Type : |
| Material Name : |
| Method 2 (Soaked) Test 1 Test 2 Test 3 |
| Mass of Tray |
| Mass of Tray + Sample |
| Mass of Tray + Residue |
| Mass of Sample for Test |
| Time in Water |
| Time out of Water |
| Max/min temp of Water |
| Number of Blows (5 - 15) (n) |
| Tray No. |
| Time in Oven |
| Time out of Oven |
| Mass of Tray + Dry Sample |
| Mass of Dry Sample (M1) |
| Mass Retained 2.36mm (M3) |
| Mass Passing 2,36mm (M2) |
| M2 + M3 |
| % Fines (m) = ( M2 / M1 ) * 100 |
| A.I.V. = 15 m / n |
| Notes : |
| 1. If M1 - (M2 + M3) > 1g then discard and retest |
| 2. If % Fines (m) <5 or > 20 then retest with either more or less blows. |
| Comments : |
| Tested By : Date : Checked By : Date : |
| Check Level (1/2/3) |