| Laboratory Test Sheet |
| INSITU DENSITY BY NUCLEAR GAUGE - BITUMINOUS PAVEMENT MATERIALS |
| Client : |
| Site : |
| Client Ref : |
| Job No : |
| Date Received : |
| Lab. Ref : |
| Supplier : |
| Source : |
| Material Type : |
| Specification : |
| Material Name : |
| Binder Type/Grade : |
| Nominal Thickness of Layer ..................................................................................... |
| Technician ..................................................... Date Tested .............................. Date Laid ........................................................ |
| Gauge Serial No .............................................. Correction Factor Density .............................................................. |
| Date Correlation Carried Out ........................................................... Derived: Client supplied / Compaction data* |
| Sand used to Bed Gauge Yes/No* PRD / Max Theoretical Target Density (Mg/m3)............................................................................. |
| TEST REF & BULK DENSITY DENSITY MEAN DEGREE OF TEST REF & BULK DENSITY DENSITY MEAN DEGREE OF |
| POSITION GAUGE & CORRECTED COMPACTION % POSITION GAUGE & CORRECTED COMPACTION % |
| READING VALUE Mg/m3 / AIR VOIDS READING VALUE Mg/m3 / AIR VOIDS |
| Mean Mean |
| Corrected Corrected |
| Mean Mean |
| Corrected Corrected |
| Mean Mean |
| Corrected Corrected |
| Mean Mean |
| Corrected Corrected |
| Mean Mean |
| Corrected Corrected |
| Mean Mean |
| Corrected Corrected |
| Mean Mean |
| Corrected Corrected |
| Mean Mean |
| Corrected Corrected |
| Mean Mean |
| Corrected Corrected |
| Mean Mean |
| Corrected Corrected |
| Mean Mean |
| Corrected Corrected |
| Comments : |
| Tested By : Date : Checked By : Date : |
| Check Level (1/2/3) |
| Notes : * Delete as applicable |