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| Client
: |
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Site : |
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| Client Ref. : |
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Job No. |
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| Lab. Ref. : |
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Date
Received : |
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| Supplier : |
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Source : |
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| Material Type : |
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Specification
: |
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| Material Name : |
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Aggregate
Type : |
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| Density of Wax
(Mg/m3) (D1) |
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| Density
of Talc (Mg/m3) (D2) |
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| Client
Reference No. |
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| CMW
Reference No. |
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| Total
Depth of Core as Received (mm) |
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| Diameter
of Core (mm) |
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| Length of
Core as Tested (mm) |
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| Length of
Core as Tested (mm) |
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| Weight of
Core (g): Constant Mass Check No.1 -Time: |
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| Weight of
core (g): Constant Mass Check No. 2 -Time: |
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| Weight of
Core at Room Temperature in Air (g) (A1) |
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| Weight of
Core + Talc in Air (g) (A2) |
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| Weight of
Core + Wax in Air (g) (B) |
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| Weight of
Core + Wax in Water (g) (C) |
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| Core
Density of Unwaxed Specimen (Mg/m3) |
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| Core
Density of Waxed Specimen (Mg/m3) |
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| Comments
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| Tested By
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Date : |
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Checked By : |
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Date : |
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