Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000272 DEA: 100V4804 EFIS: 1013000264
QA Service Level: 1
DIST-CO-RTE-PM: 10-CAL-26-21.8/30.3
Work Description: SLOPE STABILIZATION AND CONSTRUCT RETAINING WALL.
Location Description: CALAVERAS COUNTY NEAR MOKELUMNE HILL AT VARIOUS LOCATIONS FROM 3.6 MILES EAST OF ROUTE 49 TO 0.9 MILE WEST OF WOODHOUSE MINE ROAD
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: Unknown
Resident Engineer: Jonathan Ngai Structure Rep.: Conor Hennessy
DIME Sample ID: 2025-09-26-15
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: 09/26/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/26/2025
The quantity of what the sample constitutes: 12 4x8 Cylinders
A brief description of the sample: Concrete Test Samples
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Precast Unlimited Inc.
The concrete mix design number: CT850SLA50
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 102308
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: 2025-09-26-15-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 09/26/2025
Date Tested: 09/26/2025
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: 2025-09-26-15-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 09/26/2025
Date Tested: 09/26/2025
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: 2025-09-26-15-3
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 09/26/2025
Date Tested: 09/26/2025
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:
