SAMPLING AND TESTING HIGHWAY MATERIALS. 



85 



(Name and location of laboratory.) 

 Report on Sample op Semi-Gravel, Top Soil, or Sand Clay 



Laboratory No , 192 . . 



(Date reported.) 



Name. 



Identification marks 



Submitted by 



Sampled 



Sampled from 



Quantity represented 



Source of material 



Location used or to be used. 

 Examined for .... „• 



Title Address 



.., 192.. Received , 192. 



TEST RESULTS. 



Analysis of material passing 10-mesh sieve. 



Per cent. 



Per cent. 



Per cent. 



Character. 



Sand retained, 20 mesh 



Passing 20, retained 60 mesh. . . 

 Passing 60, retained 100 mesh. . 

 Passing 100, retained 200 mesh. 



Total sand. 

 Silt 



Clay 



Total 



Total sand retained on 60 mesh. 



Coarse material, per cent. Quality, 



Mica, 



Remarks: 



Respectfully submitted, 



(Title). 



