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REPUBLIC OF THE PHILIPPINES

DEPARTMENT

OF PUBLIC WORKS AND HIGHWAYS

OFFICE OF THE SECRETARY
MANI LA

07 November

DEPARTMENT
NO _

ORDER

1996

17 7

Series of 1996 ~)
\ '\\-Iq

SUBJECT:

Standardization
Reports

of Materials

Test

In order to ensure uniformity and consistency in reporting

the results of tests of samples of construction materials used in
DPWH
projects,
all Regional and District
Offices
are hereby
directed
to adopt the attached standard materials
test report
formats
(Annex A) in the preparation of official
test reports.
Henceforth,
test
reports using the prescribed
formats
may be
manually- or computer-generated
and should bear the official seal
of the Regional/District Office.
Where
the office has the capability to adopt the computerbased
system, the Userls Manual on the Materials Testing
System
(MTS) shall serve as guide in the operation of the system.
MTS
users may undergo a one-week on-the-job training at the Bureau of
Research and Standards on a pre-arranged schedule basis.
For compliance.

f4~LAR
Secretary

Attachment:

As stated.

;n,

;'

Department Order No.

Series of 1996
ANNEX
STANDARD MATERIALS
Form No .

J'11

A
TEST REPORT FORMS

Test ReporL Form

_---~---_.._--------------

MTS-01

Sample Card

MTS-02

Test Report on Concrete Aggregate

MTS-03

Test Report on Soil Aggregate

MTS-04

Test Report on Asphalt Cement

MTS-0!5

Test Report on Emulsified

MTS-06

Test Report on Cut-Back Asphalt

MTS-07

Test Report on Bituminous

MTS-08

Test Report on Concrete

MTS-09

Test Report on Reinforcing

MTS-10

Test Report on Concrete Masonry Units

MTS-ll

Test Report on Reinforced

MTS-12

Test Report on Portland

MTS-13

Test Report on Reflectorized

MTS-14

Test Report on Concrete

MTS-l!5

Mixes

Sample
Steel

Concrete Pipe

Cement
Traffic Paint

Core

Test Report on

MTS-l!5 is intended

A17/standmat

Asphalt

for Miscellaneous

Materials.

MTS Form

No.

01

Republic of the Philippines

Department of Public Works and Highways
(NAME OF OFFICE)
(ADDRESS)
SAMPLE CARD
Project
(City/Province)

(Name)

Kind of material
Sample identification
Quantity represented
Sampled at

------------~-------------------------~._-------~

.... -'--'-~-

-------------------------------------.-------------

(Give accurate location possible)

Original source
Owner/Supplier
Sampled/Cast by
(Signature)

(Name of authorized representative)

---------------------~-----------

-----

Proposed use
Test desired
Governing Specification:
Shipped by

----

---~-----------------~-----~.

__ ._~-_._--,._--~

------_ .. _-_._-~_._.-

_ ..

~~

--------------------------------~------~.~,

_
.. -----_._---.-

(Date)

(Office)

(Name and Designation)

Send test results to

(Date)

(Office)

(Designation)

-------------------------------------------------------~-----------_

.. _--_._--

--_.---_

..

_~

(Mailing Address)

REMARKS

----------~------

--------------------

--------------------------

Bill Charge to
Submitted by

-----

---------

---------------

---------------------

----

-----~-----------------~---------

(Signature)

(Name and Date)

-------~------------~----------

------------_.-._-

(Mailing Address)

(Office)

-_._---_._~-~--_._=------------------------------_.-----

----_

..

_._-~_._

.._---_._----_.
-------~_._

..

--------_-,. __ ._------

- ----_._---~._-

----------

Received by
Lab. No.

Due Date

NOTED:

(Head of Office)
(Designation)

'7

MTS Form

No.

02

Republic of the Philippines

Department of Public Works and Highways
(NAME OF OFFICE)

Lab. Report No.

Date

(ADDRESS)
TEST REPORT ON CONCRETE

_
_

AGGREGATE

Project
Kind of material
Sample identification
Quantity represented
Sampled at
Original source
Proposed use
Spec's. Item No.
Sampled by
(Name & Designation)

(Office)

(Date)

Submitted by
{Name & Designation}

Lab. No.

{Office}

{Date Received}

----

TESTS
Sieve Analysis:

Cummulative

REQUIREMENTS

RESULTS

% passing

Sieve Size, mm

I
I
I

Fineness Modulus
Abrasion Loss {LAM}, %
Fractured Face, %
Bulk Specific '\Sravity
Absorption,

Friable Particle
Clay Lumps
Soundness {N,,\SO+>, % loss
Dry Unit Mass, kg/mi:
Loose
Rodded

Mortar Strength, %

~rganiC

Impurities

------'---------------

----------------

i REMARKS:

L-----------------

Checked by :

Tested by :
(MQCH Div/Sect. Head)
{Designation}
Attested :
Witnessed

by :

---------------1
I
I
I

(Head of Office)
(Designation)

MTS Form

No.

03

Republic of the Philippines

Department of Public Works and Highways
Lab. Report No.
Date

(NAME OF OFFICE)
(ADDRESS)

_
_

TEST REPORT ON SOIL AGGREGATE

Project
Kind of material
Sample identification
Quantity represented
Sampled at
Original source
Supplied by
Proposed use
Spec's. Item No.
Sampled by
Submitted

(Name & Designation)

(Office)

(Name & Designation)

(Office)

(Date)

by

Lab. No.

TESTS

I Sieve Analysis: Cummulative

I
Sieve Size, mm

% passing:

R_E_a_U_IR_E_M_E_NT_S
__
==fRES

__
U_L_
T__
S

Liquid Limit

(Date Received)

Plasticity Index

Abrasion Loss (LAM), %

Moisture Density Relationship:

Max. Dry Density, Kg/cu. m

Optimum

Moisture Content, %

California Bearing Ratio:

CBR value at MOD, %

iI-------------~--------~---~
Swell, %

~-

--~----I

------------

!
! REMARKS:

I
I

-----------

I~~.md

------

..._-------~-----------~.,--_.~._-----

-----~------------

----

---~

I
I

IChecked by :

by

i
(MaCH

Div/Sect.

Head)

(Designation)
Attested :
Witnessed

--

by :
(Head of Office)
(Desi~nation)

MTS Form

No.

04

Republic of the Philippines

Department of Public Works and Highways
Lab. Report No.
Date

(NAME OF OFFICE)
(ADDRESS)
TEST REPORT ON ASPHALT

_
_

CEMENT

Project
Sample identification
Quantity represented
Sampled at
Original source
Grade
Supplied by
Proposed use
Spec's. Item No.
Sampled by
(Date)

(Office)

(Name & Designation)

Submitted

by

Lab. No.

TESTS

: O'iginaJ Sample
i
Penetration 25C,

__

R_EQ_U_I_R_EM_EN_T_S

--~l---..

----R-E-S-U--L T_S

.~~

100 g, 5s

(Date Received)

(Office)

(Name & Designation)

I
I

Flash Point, Cleveland Open Cup, C

Ductility, 25C, 5 cm/min,

em

Solubility in trichloroethylene,

Loss on heating, %
Residue:

Penetration, % of original
Ductility, 25C, 5 cm/min,
Spot Test, 25% xylene-heptane
I

ii

Specific Gravity

em
I
I

I ....
__ ~

IRE-MA--R-K-S-:
..---------.

---.-.--

__ .~

...---.---

I
Checked by :
Tested by :
(MQCH Div/Sect.

Head)

(Designa_t_io_n~)

._

Attested :
Witnessed

by :

(Head of Office)
_ ..tDesignClti~n)

MTS Form

No.

05

Republic of the Philippines

Department of Public Works and Highways
Lab. Report No.
Date

(NAME OF OFFICE)
(ADDRESS)
TEST REPORT ON EMULSIFIED

_
_

ASPHALT

Project
Sample identification

--------~------~---

--~~-

Quantity represented
Sampled at
Type and Grade
Original source
Supplied by
Proposed use
Spec's. Item No.
Sampled by
(Date)

(Office)

(Name & Designation)

Submitted by

Lab. No.

,-

TESTS

REQUIREMENTS

~~

R_E_SU_L_T_S~

~~

Emulsion:

I
I
I
I

(Date Received)

(Office)

(Name & Designation)

Viscosity (Saybolt-furol),25C,

Storage Stability, %
Cement Mixing, %
Sieve Test, %
Residue by distillation, %

Particle charge, %

Specific Gravity

I Residue:
I Penetration, 25C, 1oog, 5's
I Ductility, 25C, 5cm/min., cm
I Solubility in trichloroethylene, %

I
I
I

---------'---------I

_L~~

~_

REMARKS:

i
I
I

Checked by :
Tested by :

I
(MQCH Div/Sect. Head)
(Designa_t_io_n_)
Attested :
Witnessed

by :
(Head of Office)
{!J~ignationJ

MTS Form

No.

06

Republic of the Philippines

Department of Public Works and Highways
Lab. Report No.
Date

(NAME OF OFFICE)
(ADDRESS)

_
_

TEST REPORT ON CUT-BACK ASPHALT

Project
Sample identification
Quantity represented
Type and Grade
Sampled at
Original source
Supplied by
Proposed use
Spec's. Item No.
Sampled by
(Date)

(Office)

(Name & Designation)

Submitted by

Lab. No.

_
REQUIREMENTS

TESTS
Original Sample
Viscosity,

(Date Received)

(Office)

(Name & Designation)

==r

R~_ES_U_L_TS
__

~ -_-~
!

Kinematic at 60C, centistokes

Specific Gravity
Flash Point, Tag-Open Cup, c

I
I

Distillation Test:
Distillate, % by volume of total distillate to 360

0
(

to 225C

to 260C

to 315C
Residue by distillation,

Residue Test:

Penetration, 25C, 100 g, 5s

Ductility, 25C, 5cm/min,

cm

Solubility in trichloroethylene,

-J

Spot Test, 25% xylene-heptane

I REMARKS:
I

r---~----------------I

II

C-h-e-c-ke-d-b-y-:-----------

Tested by :

I
I

(MQCH Div/Sect. Head)

(Designation)

____________

Attested :
Witnessed

i
I

by :

I
I

(Head of Office)
l~signClti()~

__

MTS Form

No.

07

Republic of the Philippines

Department of Public Works and Highways
Lab. Report No.
Date

(NAME OF OFFICE)
(ADDRESS)
TEST REPORT ON BITUMINOUS

_
_

MIXES

Project
Sample identification
Quantity represented
Sampled at
Original source
Supplied by
Proposed use
Spec's. Item No.
Sampled by
(Name & Designation)
Submitted

(Date)

(Office)

by
(Name & Designation)

Lab. No.

(Date Received)

(Office)

Sieve Analysis:

RESULTS

REQUIREMENTS

TESTS
Cummulative

% passing

(After Extraction)
Sieve Size, mm

II
i

Bitumen Content, % by wt. of agg.

I
I

Bulk Specific Gravity

Immersion/Compression

Test:

Dry Stability, kPa

Wet Stability, kPa

Index of Retained Strength, %

----'--~--1

REMARKS:

I
I----------------Iuc-h-ec-k-e-d-b-y-:

i Tested

---------

by :

------------

I
i

f------------

(MQCH Div/Sect.

Head)

(Designation)

__

U.~

Attested :

Witnessed

by :

I
I

_____

(Head of Office)
n

JQ~sign~!i~1l1

I
n

MTS Form

No _ 08

Republic of the Philippines

Lab. Report No.
Date

Department of Public Works and Highways

(NAME OF OFFICE)

_
_

(ADDRESS)
TEST REPORT ON CONCRETE SAMPLE
Project
Type of Specimen
Spec's. Item No.
Class
Source of mixture
Sampled by
(Name & Designation)

(Office)

(Name & Designation)

(Office)

(Date)

Submitted by
(Date Received)

LAB. NO.

STRENGTH,

AGE

PART OF STRUCTURE
SAMPLE

or

DATE

IDENnFICA nON

STA nON REPRESENTED

SAMPLED

MPa

IN

FLEXURAU

DAYS

COMPRESSIVE

iI

I
I

-----

Checked by :
Tested by :
(MQ CH Div/Sect

Head)

(Designation)

Attested :
Witnessed by

II
Head of Office)

---------

---~----'-----~--'-~------------------"-'-"-"

"

..---'-'-

'---------

-'~'-"-"--"--'--"---"-

(De~ignati(m) ___ ...._

- ---

---

"

MTS Form
Republic of the Philippines
Department of Public Works and Highways
(NAME OF OFFICE)

No.

09

Lab. Report No.

Date

(ADDRESS)

_
_

TEST REPORT ON REINFORCING STEEL

Project
Kind of material
Sample identification
Quantity represented
Sampled at
Original source
Supplied by
Proposed use
Spec's. Item No. & Grade
Sampled by
(Name & Designation)

(Office)

(Date)

(Name & Designation)

(Office)

(Date Received)

Submitted by

Lab. No.

_
RESULTS

REQUIREMENTS

TESTS
Tensile Properties:
Yield Point, MPa
Tensile Strength, MPa
Elongation, %
Bending Properties:
Degree bent, 180 degrees

No cracking on outside bent portion

Actual Unit mass, kg/m

Variation in mass, %
Deformation, mm :
Spacing, average
Height, average
Gap
Phosphorous Content, %

I-R~E~M~A~R~K~S_:

"-1
----,

~"

Checked by :

Tested by :

,
i

(MQCH Div/Sect Head)

(Designation)

Attested :
Witnessed by :
(Head of Office)
(Designation)

I
I

___

----'I

MTS Form

No.

10

Republic of the Philippines

Department of Public Works and Highways
Lab. Report No.
Date

(NAME OF OFFICE)
(ADDRESS)
TEST REPORT ON CONCRETE

MASONRY

_
_

UNITS

Project
Type of Unit
Quantity represented
Sampled at
Original source
Supplied by
Proposed use
Spec's. Item No.
Sampled by
(Name & Designation)

(Office)

(Date)

(Name & Designation)

(Office)

(Date Received)

Submitted by

Lab. No.

TESTS

SAMPLE I. D.
Dimension

Measurement

REQUIREMENTS

RESULTS

mm

Width

Length

Weight
Comoressive

Strenllth

MN/m2

Individual Unit

1
2
3
Average of three (3) units
Absorption,

% (Avg. of 3 units)

Moisture Content, % (Avg. of 3 units)

I
REMARKS:

~---------------------l

Checked by:

Tested by :
(MQCH Div/Sect.

Head)

(Designation)
Attested :
Witnessed

by :
(Head of Office)
---'--------- ..-------------------

(De~~"!'!~~_

....

MTS Form

No.

11

Republic of the Philippines

Department of Public Works and Highways
(NAME OF OFFICE)

Lab. Report No.

(ADDRESS)

Date

TEST REPORT ON REINFORCED

CONCRETE

PIPE

Project
Kind and class
Quantity represented
Sampled at
Original source
Proposed use
Spec's. Item No.
Sampled by
(Name & Designation)

(Office)

(Date)

(Name & Designation)

(Office)

(Date Received)

Submitted by

Lab. No.

-------TESTS

RESULTS

REQUIREMENTS

ote:

J_~

D-Ioad is expressed in newton per linear meter per mm of diameter.

REMARKS:

Checked by :
I

Tested by :
(MQCH Div/Sect.

Head)

(Designation)
Attested :
Witnessed

by :
(Head of Office)

L __

~_.~

._

.~_~~~

._~

~__

-'-

~iQesig~Cl~()'!L

~_. __

MTS Form

No.

12

Republic of the Philippines

Department of Public Works and Highways
Lab. Report No.
Date

(NAME OF OFFICE)
(ADDRESS)

_
_

TEST REPORT ON PORTLAND CEMENT

Project
Sample identification
Quantity represented
Sampled at
Manufactured

by

Brand
Spec's. Item No.
Sampled by
(Name & Designation)

(Office)

(Date)

(Name & Designation)

(Office)

(Date Received)

Submitted by

Lab. No.

6.0 Max.

Oxide (MgO), %

Loss on Ignition, %

3.0 Max.

Insoluble Residue, %

0.75 Max.

Air Content of mortar, %

12.0 Max

Amount passing

Autoclave

Expansion, %

I
]

3.0 Max.

Sulfur Trioxide (SO ), %

Fineness:

RESULTS

REQUIREMENTS

TESTS
Magnesium

0.075 mm sieve, %
0.8 Max.

II

Vicat Test:
Time of setting, minutes

45 Min.

Time of setting, minutes

375 Max.

Compressive

I
II

Strength, Avg. mortar cubes, MPa

3 days
7 days

12.4 Min.
19.3 Min.

28 days

27.6 Min.

I'

Specific Gravity

REMARK~

""----~

'REMARKS:

n,

'

-,-

""---,-~~
~,,

'

__

'

__

Checked by :

I Tested by :
(MQCH Div/Sect. Head)
(Designation)
Attested :
Witnessed

by :

(Head of Office)
,_,,,_,,_JDe~ign~~~~L_,

,_

u_

,I

MTS Form

No.

13

Republic of the Philippines

Department of Public Works and Highways
Lab. Report No.
Date

(NAME OF OFFICE)
(ADDRESS)
TEST REPORT ON REFLECTORIZED

_
_

TRAFFIC PAINT

Project
Kind of material
Sample identification
Quantity represented
Sampled at
Original source
Supplied by
Proposed use
Spec's. Item No.
Sampled by
Submitted

(Office)

(Date)

(Name & Designation)

(Office)

(Date Received)

by

Lab. No.

(Name & Designation)

I
I

RESULTS

REQUIREMENTS

TESTS
A. Physical Properties :
1. Condition in container
2. Specific Gravity
3. Drying Time:

No pick up, min.

B. Paint Composition:
1. Total Dry Solids

(Pigment & Glass Beads, %)

2.

3. Extenders (by difference),

4. Non-volatile content, % by weight

of vehicle

5. Glass Beads, %
a. Weight, g/L
b. Amount of True Spheres, %
c. Grading, % Passing:
0.212 mm

0.186 mm

I
i

0.063 mm

REMARKS:
Checked by :
Tested by :
(MQCH Div/Sect.
-

Head)

(Designation)

.. -------.--.---

.. ~_._--~

--------

Attested :
Witnessed

by :

(Head of Office)

...

(Designation)

_____J

MTS Form

No.

14

Republic of the Philippines

Lab. Report No.
Date

Department of Public Works and Highways

(NAME OF OFFICE)

_
_

(ADDRESS)
TEST REPORT ON CONCRETE CORE
Project
Type of Specimen
Spec's. Item No.
Class
Source of mixture
Sampled by
(Name & Designation)

(Office)

(Date)

(Name & Designation)

(Office)

(Date Received)

Submitted by

LAB. NO.

PART OF STRUCTURE

AVERAGE

STRENGTH

or

THICKNESS

COMPRESSIVE

STA 110N REPRESENTED

(em)

MPa

SAMPLE
IDENllFICA

110N

I
I

I
I
I

~----~~

Checked by :
Tested by:

II

(MQCH Div/Sect.

Head)

(Designation)

-----

Attested :
Witnessed by :
(Head of Office)

I
I
I.._....
~

'w"

_"~

___

n""_

._

.'.

__

___

, ___

...

__

, u_.

___

__

_.

____

u __ _____________

__

._.

___

O'. __

._

_.~_"

___

--------------

--,-._--'.-,-----------

___t[)~l>ign!ti()1"ll __

- -

i,'

MTS Form

No.

15

Republic of the Philippines

Department of Public Works and Highways
(NAME OF OFFICE)

Lab. Report No.

(ADDRESS)

Date

--------

TEST REPORT ON
Project
Kind of material
Sample identification
Quantity represented
Sampled at
Original source
Supplied by
Proposed use
Spec's. Item No.
Sampled by
(Name & Designation)

(Office)

(Date)

(Office)

(Date Received)

Submitted by
(Name & Designation)

Lab. No.

I REMARKS:

--~~--,~~-~~~~-------"--------

---"

Checked by :
Tested by :

(MQCH Div/Sect. Head)

(Designation)
Attested :
Witnessed

by :

(Head of Office)
---1Q~sign~~n)