Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994574 DEA: 050C7334 EFIS: 0518000116
QA Service Level: 1
DIST-CO-RTE-PM: 05-SCR-1-10.5/13.4
Work Description: CONSTRUCT OVERCROSSING AND AUXILIARY LANE/ Replace Capitola Ave OC + RWs and SWs
Location Description: SANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM STATE PARK DRIVE OVERCROSSING TO 0.2 MILE NORTH OF BAY AVENUE UNDERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 580 West Beach Street, Watsonville, CA 95076
Resident Engineer: Fernando Dos Santos Structure Rep.: Daniel Dait
DIME Sample ID: 2025-02-25-12
TL Number from the TL Form: 25-006
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 206-4373
Type of Sample: Quality Assurance
Type of Material: Rapid Set
Sample Taken Date: 02/25/2025
Date that the sample was received by the laboratory/organization performing the testing: 02/25/2025
The quantity of what the sample constitutes: 1 50 pound bag
A brief description of the sample: Repair mortar
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sika
DIME Test ID: 2025-02-25-12-2
Test Method: CONCLP 2-16: Rapid Set Patching Materials
Verified Date: 03/27/2025
Date Tested: 03/18/2025
Submitted By Organization: WSP USA - San Diego
Organization Address: 690 Walnut Avenue,
Organization City: Vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: aaron.franklin@dot.ca.gov
Organization Phone: (858) 699-0513
General Comments for this Test: Abrasion Resistance (CTM 550) not performed.
Test Result Compliance: does not comply
Additional Comments When Verified:
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Compressive Strength @ 3 hrs (CTM 551)
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780
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Compressive Strength @ 24 hrs (CTM 551)
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6870
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Flexure Strength @ 24 hrs (CTM 551)
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no data0 psi
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Bond Strength @ 24 hrs - SSD (CTM 551)
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no data0 psi
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Bond Strength @ 24 hrs - Dry (CTM 551)
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no data0 psi
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Water Absorption (CTM 551)
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no data0 %
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Abrasion @ 24 hrs (CTM 550)
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no data0 g
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Drying Shrinkage @ 4 days (CTM 596)
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no data0 %
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Soluble Chlorides (CTM 422)
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no data0 %
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Water Soluble-Sulfates (CTM 417)
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no data0 %
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Material Weight
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50
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Water Weight
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3.5
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