LAFARGE
SLT SAMPLE ID AND PROPERTY INFORMATION FORM
This form is to be filled out when submitting a sample for SLT testing. The form provides basic background information on the Sample ID, the source of the sample, and relevant property data. One form is completed for each sample submitted. Complete the form by inserting a Sample ID Code for the sample. Sample IDs submitted should be numbered consecutively (e.g., LF-1; LF-2, LF-3, etc.) for each consecutive sample submitted for testing. The Sample ID Code selected will be used to track the sample through the entire SLT testing and evaluation process and so affixing "permanent" labels to the outside (and placing a label inside) of the shipping container is "critical" to tracking the sample. Include all available information on sample properties and attach applicable data files when appropriate. Submit the form to the web site project file by pressing the SUBMIT button after completing the form.
Sample Identification Information...
SAMPLE ID CODE
If this submission is meant to replace or add to information from a prior submission, please identify the prior submission Sample ID and explain why the form is being replaced. or modified
Sample Type
Please Select
Cement
Slag
Fly Ash
Raw Limestone
Clinker
Gypsum
Insert Sample Source Information
Include additional description of sample type and source if needed
Sample Property Information...
Describe Modelling Objective
Sample Particle Size
Please Select
>3/8 in
<3/8 in
Sand size
Well graded through all sizes
<75 microns
<10 Microns
Measured Moisture Content, if available
Describe any special handling procedures
Upload MSDS Sheet, if applicable
Upload Data File 1 With Sample Data, if available
Upload Data File 2 With Sample Data, if available
Upload Data File 3 with Sample Data, if available
Upload Data File 4 with Sample Data, if available
Upload Data File 5 with Sample Data, if available
Form Submission Information...
Form Submission By
First Name
Last Name
E-mail
Phone Number
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Area Code
Phone Number
Submission Date & Time
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Month
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Day
Year
Date Picker Icon
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Hour
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Minutes
AM
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AM/PM Option
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Submit
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