FORMS FOR SPECIFICATIONS, ETC., FOR ROAD MATERIALS. 43 
(Name and location of laboratory:) 
Repoet on Sample of Poetland Cement. 
(Date reported.) 
Laboratory No. 
Brand 
191. 
Identification marks 
Submitted by Title Address 
Sampled , 191 Received __, 191. 
Sampled from 
Quantity represented 
Manufactured by 
Location used or to be used = 
Examined for 
Remarks : 
TEST EESULTS. 
Chemical tests: 
Loss on ignition, per cent 
Insoluble residue, per cent 
Sulphuric anhydride (S0 3 ), per cent. 
Magnesia (MgO), per cent 
Physical tests: 
Specific gravity 
Per cent retained on 200-mesh sieve. 
Steam test 
Gillmore 
needle. 
Vicat 
needle. 
Initial set- 
Final set- 
Tensile strength (1:3 Ottawa sand) : 
7 days. 28 days. 
Average : 
Average : 
Respectfully submitted, 
""(TitleT 
