Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215620 DEA: 01436404 EFIS: 0100000193
QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-35.8/36.5
Work Description: Dr. Fine Bridge Replacement
Location Description: DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER.
Contractor Name: MCM Construction
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Clayton Malmberg Structure Rep.: Brian Cinkutis
DIME Sample ID: 2024-10-13-12
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Dispute Resolution
Type of Material: Concrete Core
Sample Taken Date: 10/13/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/27/2024
The quantity of what the sample constitutes: 90 CY
A brief description of the sample: PCC Core
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 01-0041
Structure name: Smith River Bridge, Route 101
The fabricator/manufacturer/facility name: Tidewater Contractors, Inc.
Detail description: Bridge column
Structure names: Pier 4 Right column
Type of material: Concrete
DIME Test ID: 2024-10-13-12-1
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joe.harline@dot.ca.gov
Organization Phone: (916) 206-4373
Data has not been verified.
DIME Test ID: 2024-10-13-12-2
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joe.harline@dot.ca.gov
Organization Phone: (916) 206-4373
Data has not been verified.
DIME Test ID: 2024-10-13-12-3
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joe.harline@dot.ca.gov
Organization Phone: (916) 206-4373
Data has not been verified.
DIME Test ID: 2024-10-13-12-4
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joe.harline@dot.ca.gov
Organization Phone: (916) 206-4373
Data has not been verified.
DIME Test ID: 2024-10-13-12-5
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joe.harline@dot.ca.gov
Organization Phone: (916) 206-4373
Data has not been verified.
DIME Test ID: 2024-10-13-12-6
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joe.harline@dot.ca.gov
Organization Phone: (916) 206-4373
Data has not been verified.
