POR CARD Pout N Date 01 NAME OF THE WORK 02 LOCATION 03 REFERENCE DRAWING SO 04 MIN PROPORTION 05 QTY OF CONCRETE 06 © TOO_LEVEL OF CONCRETE 07 CHECK FOR SHUTTERING 08 © REINFORCEMENT. 09 CHECK FOR FOUNDATION BOLTS: METALLIC INSERTS (IF ANY) 10 CLEARED FOR CONCRETING FOR CONTRACTOR FOR POWERGEID 1) CEMENT BRAND & WEEK NO 12 QTY OF CEMENT a) THEORETICAL b) ACTUAL {3 WATER CEMENT RATIO 14 IDENTIFICATION OF CUBES FOR CONTRACTOR FOR POWERGRIDCONCRETE CUBE TEST REPORT -OWERGRID CORPORATION OF INDIA LTD. SEONL BINA TL same of work: 765 KV S agreement No.-C46008-LO95 ATC 4-1 2089 Sample No: Loe. No. identification Mark Portion of work or Qty. represented sample Date & Time of casting: Proportion of Mix: ‘7 days waduys 1. Due date of test: >, Actual date of testing’ 3, Delay in testing: 4. Actual average compressive sirens YesiNo YewNe 5, Is average comp. Strength eas! °F tee than specified comp. Stren (Signature of Enecuting Agen) (Signature of Poswergrid Orie Date... ete Date.