STABILITY MATERIAL TESTING & RESEARCH LABORATORIES. Test Request & Receipt Form SMTRL/QF7.1/QF-7.1 Issue No.01 Page No. 1 of 1 Please enable JavaScript in your browser to complete this form. - Step 1 of 2STABILITY MATERIAL TESTING & RESEARCH LABORATORIES. Test Request & Receipt Form SMTRL/QF7.1/QF-7.1 Issue No.01 Page No. 1 of 1 Name Of Work ( कामाचे नाव ) *Approximate Cost Of Work In Lacs ( कामाची अंदाजित किंमत लाख मध्ये) *Name Of Engineer ( इंजीनियर चे नाव ) *post Of Engineer ( इंजीनियर चे पदनाम ) *Email Of Engineer ( इंजीनियर चा एमेल ) *Mobile No Of Engineer ( इंजीनियर चा मोबाईल नंबर)Name Of Contractor ( ठेकेदारचे नाव ) *Mobile No Of Contractor ( ठेकेदारचा मोबाईल नंबर ) NextName Of Department *Zilha Parishad जिल्हा परिषदWater Conservation Department मृद व जलसंधारण विभागPanchayat Samiti पंचायत समिती विभागPublic Work Department सार्वजनिक बांधकाम विभागMuncipal Corporation नगरपरिषद / नगरपालिकाGaram Panchayat ग्रामपंचायतothers इतरName Of DepartmentDistrict *Beed बीडDharashiv धाराशिवParbhani परभणीAhilyanagar अहिल्यानगरLatur लातूरDhule धुळेJalna जालनाChhatrapati Sambhaji Nagar छत्रपती संभाजी नगरOthers इतरDistrictTaluka *Condition Of Ongoing Work *Work In ProgressWork CompletedCementSelect Below OptionOPCPPCCement Brand NameCement TestBitumenBitumen TestBricksSelect Below OptionFirst ClassSecond ClassName Of Test For BricksCoarse AggregateName Of TestFine AggregateSelect Below OptionNatural SandCrushed SandEnter Type Of TestPaver BlockName Of TestSoilMurumName Of TestConcrete CubeGrade Of concrete CubeDate Concrete Cube-2Date / Time For Concrete Cube-2DateTimeMix DesignSelect Below OptionConcrete Mix DesignGSB Mix DesignWMM Mix DesignBM Mix DesignGrade Of Mix DesignSteelSize Of Steel In mm Name Of Test For steelUpload Signature Of Engineer * Click or drag a file to this area to upload. I Accept Terms & Condition For Testing *Terms & condition• Report will be submitted after receipt of 100 % Payment. • Customer will collect the test report within the delivery date given above. • Customer is requested to bring this copy at the time of collection of test report. • All samples tested in our Lab are not preserved . • Verification test for the samples preserved will be done at Customer’s cost. • Sample received for testing may be returned un–tested under circumstances beyond control, Non–conformity observed during testing and other problem related to sample. • All samples submitted for testing must be in good condition and of sufficient qty. to ensure completion of all tests as agreed. • All possible care will be taken in handling and storage of the sample but the risk of loss etc. must be assumed by customer. • We are not liable for any legal action taken against this report • In case of any dispute the decision of the Top Management – SMTRL will be final. Memorandum The test report / certificate issued by SMTRL are a record of the test conducted on sample submitted to us for testing and the results thereof. Unless otherwise specified in the report, the results are applicable to only to those samples, which have been tested and do not apply to other sample even though declared to be identical. Test report / certificate if reproduced for any purpose commercial or otherwise should be reproduced in full. Reproduction of a part of the report or an abstract thereof must be specifically approved from the Top Management – SMTRL Liability Clause • SMTRL shall not be liable for any changes in reported data due to any cause related to sample tested after the report / certificate, in respect of it, has been issued. • Test report / certificate shall not be regarded in any way diminishing the normal contractual responsibilities / obligations between the customer and SMTRL. • The results reported in the test report / certificate is valid only at the time of and under the stated conditions of the testing. Submit