Project : Construction of New Broad gauge line Including Electrical, Signalling &Telecommunication Works Between
shorapur (Incl.) (Ch:187/100) And Shahpur (Excl.) (Ch:210500) (23.400 Km) Under gadag-Wadi Newline Project (257 Km)
EPCContractor Authority Engineer Client
LWAY
MKC MKC INFRASTRUCTURE LTD.
Foundalon for the future
MKC Infrastructure Limited LEA Associates South Asia Private Ltd. South Western Railway
SAMPLE CARD
Date of Sampling
Source of Material
2y0324
Sample Loacation
chr Taoyi TEnh,amm sthe czushia
Alhel
Type of Sample
Sampled By
20 Mm Agg Side
Sample No./|D
Heinty 05 BagÓ
Tests Required
For Concnefe mix Desigr
Thind Pay LAS
Sipature of Sgnature of Authority
|EPCContractor's Rep PMC Rep. Engineer's Rep
Project : Construction of New Broad gauge line Including Electrical, Signalling &Telecommunication Works Between
shorapur (ind) (Ch:187/100) And Shahpur (Excl.) (Ch:210500) (23.400 Km) Under gadag- Wadi Newline Project (257 Km)
EPC Contractor Authority Engineer Client
MKC INFRASTRUCTURE LTD.
Foundaton fo me ture LEA
MKC Infrastructure Limited LEA Associates South Asia Private Ltd. South Western Railway
SAMPLE CARD
Date of Sampling
94031202
Source of Material
Sample Loacation
shn toeyTinmahm
Athe
Caushe
Type of Sample
Agg
Side:
Sampled By
Sample No./ID
Tests Required
7hsd Paaty LA
Signature of Authority
epd Contractor's Rep PMC Rep Enginee's Rep
Project: Construction of New Broad gauge line including Electrical, Signalling &Telecommunication Works Between
shorapur (incl.) (Ch:187/100) And Shahpur (Excl.) (Ch:210500) (23.400 Km) Under gadag-Wadi Newline Project (257 Km)
EPC Contractor Client
Authority Engineer
MKC MKC INFRASTRUCTURE LTD
Feundalion for the uture LEA STER
MKC Infrastructure Limited LEA Associates South Asia Private Ltd. South Western Railway
SAMPLE CARD
Date of Sampling 202S
Source of Material
Koishoq Riue
Sample Loacation
Cho udenh ar
Type of Sample
Sampled By
Sand Side
Sample No./1D
Tests Required
For Conete Mi Desi
this Psty eA
Signature of Signature of
Signature of Authority
EPC Contractor's Rep. PMC Reo
Engineer's Rep
Project : Construction of New Broad gauge line Including Electrical, Signalling &Telecommunication Works Between
shorapur (Iind.) (Ch:187/100) And Shahpur (Excl.) (Ch:210500) (23.400 Km) Under gadag-Wadi Newline Project (257 Km)
EPC Contractor Authority Engineer Client
MKC MKC INFRASTRUCTURE LTD.
Foundation for the future
LEA
MKC Infrastructure Limited LEA Associates South Asia Private Ltd. South Western Railway
SAMPLE CARD
Date of Sampling
Source of Material
Ulateoh
Sample Loacation
Type of Sample Ultterh ope - 3 Side
Sampled By
Sample No./ID
Tests Required Fon Condefe MiDaign
ThiFd Poty LAD
Signature of Signature of Authorityl
Dgure of
EPC Contractor's Rep. PMC Rep.
Engineer's Rep
Project :Construction of New Broad gauge line Including Electrical, Signalling &Telecommunication
shorapur (Iincl.) (Ch:187/100) And Shahpur (Excl.) (Ch:210500) (23.400 Km) Under gadag-Wadi NewlineWorks Between
Project (257 Km)
EPC Contractor
Authority Engineer Client
(MKC MKC INFRASTRUCTURE LTD
Foundaton for the future
MKC Infrastructure Limited LEA Associates South Asia Private Ltd. South Western Railway
SAMPLE CARD
Date of Sampling
94103[202
Source of Material
Sample Loacation
Type of Sample
Sampled By
Sample No/1D
Tests Required
Fon cenecfe Mix ealg
Seture of Signature of Sgnature of Authorityl
EPCContractor's Rep PMC Rep Engineer's Rep
Project : Construction of New Broad gauge line Including Electrical, Signalling &Telecommunication Works Between
shorapur (incl.) (Ch:187/100) And Shahpur (Excl.) (Ch:210500) (23.400 Km) Under gadag-Wadi Newline Project (257 Km)
EPCContractor Authority Engineer Client
(MKC MKC INFRASTRUCTURE LTD.
Foungation for the futute LA
MKC Infrastructure Limited LEA Associates South Asia Private Ltd. South Western Railway
SAMPLE CARD
Date of Sampling
Source of Material
Sample Loacation
Rheoplast Amikn
Type of Sample
Rheoplat PC 2 Side :
Sampled By
Sample No/ID
Hoiniy
Tests Required
Fan con creta
Third Paty LA
Sgnature of Authority
Dgnature of
FPC Contractor's Re PMC Rep. Eng neer's Rep.