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PROJECT MANUAL Specifications Seafood Removal Walmart Store No 1186 Liberty TX

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WAL-MART STORES<br />

CONCRETE SLAB MIX DESIGN SUBMITTAL FORM<br />

(Section 03312 – Cast-in-Place Concrete Slabs)<br />

Date<br />

DISCOUNT STORE SUPERCENTER NEIGHBORHOOD MARKET SAM’S CLUB<br />

SUBMITTED MIX DESIGN<br />

STORE INFORMATION<br />

Interior Building Slabs STORE #<br />

03312-SLC Integrally Colored Concrete ADDRESS<br />

Mix ID #<br />

CITY, ST<br />

GENERAL CONTRACTOR<br />

COMPANY<br />

JOBSITE PHONE<br />

A. CONCRETE INFORMATION<br />

Design Strength (f’c)<br />

Water / Cementitious Ratio<br />

Total Air Content %<br />

Mix Developed From<br />

Density<br />

W<br />

et<br />

Slump<br />

Trial Mix Test Data (attach test data)<br />

Field Experience (attach data)<br />

pc<br />

f<br />

Dry<br />

“ ( ± 1” ) WITHOUT WR Admixture<br />

“ ( ± 1” ) WITH WR Admixture<br />

p<br />

s<br />

p<br />

c<br />

B. ADMIXTURE INFORMATION<br />

ASTM Designation Product Dosage (ounces)<br />

oz /<br />

(Manufacturer/Brand)<br />

oz / cy cwt<br />

Water Reducing<br />

Accelerating<br />

Retarding<br />

Liquid Color<br />

03312-27<br />

<strong>Walmart</strong> #<strong>1186</strong> – <strong>Liberty</strong>, <strong>TX</strong> 04/20/11<br />

CMA/10118.034

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