Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994539 DEA: 021H58U4 EFIS: 0223000059
QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-70-58.2/R78.4
Work Description: RECONSTRUCT ROADWAY, HMA PAVING, DRAINAGE AND ELECTRICAL WORK.
Location Description: PLUMAS COUNTY AT AND NEAR CROMBERG FROM GILL RANCH ROAD TO 0.2 MILE WEST OF BIG GRIZZLY CREEK BRIDGE
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: PO Box 1006, Eureka, CA 95502
Resident Engineer: Mike Zdenek Structure Rep.: Brandon Thurber
DIME Sample ID: 2024-12-05-6
TL Number from the TL Form:
Sample Submitted By Organization: Precast Unlimited Inc.
Sample Organization Contact: (530) 243-6477
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 12/05/2024
Date that the sample was received by the laboratory/organization performing the testing: 12/05/2024
The quantity of what the sample constitutes: 13.25 cyds
A brief description of the sample: 10 4x8 concrete cylinders
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Precast Unlimited
The concrete mix design number: Z82V0Q6
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 3819
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-12-05-6-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 12/05/2024
Date Tested: 12/05/2024
Submitted By Organization: Precast Unlimited Inc.
Organization Address: 16538 Clear Creek Rd.,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: chase@precastunlimited.com
Organization Phone: 1 (530) 243-6477
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2024-12-05-6-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 12/05/2024
Date Tested: 12/05/2024
Submitted By Organization: Precast Unlimited Inc.
Organization Address: 16538 Clear Creek Rd.,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: chase@precastunlimited.com
Organization Phone: 1 (530) 243-6477
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2024-12-05-6-3
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 12/05/2024
Date Tested: 12/05/2024
Submitted By Organization: Precast Unlimited Inc.
Organization Address: 16538 Clear Creek Rd.,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: chase@precastunlimited.com
Organization Phone: 1 (530) 243-6477
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
