Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000561 DEA: 010J8904 EFIS: 0119000119
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-36-3.9/6.0
Work Description: HOT MIX ASPHALT, AGGREGATE BASE, AND STRUCTURAL CONCRETE.
Location Description: HUMBOLDT COUNTY AT CARLOTTA FROM 0.2 MILE WEST OF FISHER ROAD TO 0.2 MILE WEST OF WILDER ROAD
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: 200 Dinsmore Dr., Fortuna, CA 95540
Resident Engineer: Cody Long Structure Rep.: Shantanu Nalawade
DIME Sample ID: 2025-11-04-27
TL Number from the TL Form:
Sample Submitted By Organization: Pinnacle Prestress, Incorporated
Sample Organization Contact: (661) 748-5291
Type of Sample: Quality Control
Type of Material: Precast Concrete
Sample Taken Date: 11/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/04/2025
The quantity of what the sample constitutes: 10CY
A brief description of the sample: BC-15.001 BC-12.001 BC-06-001
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pinnacle Prestress, Inc.
The concrete mix design number: SCC-NFA-8.50-FC6K REV 121224A
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 17292
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: wheel barow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-11-04-27-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Submitted By Organization: Pinnacle Prestress, Incorporated
Organization Address: 425 J Street,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93820
Organization Email: anthony.pace@pinnacleprestress.com
Organization Phone: (661) 748-5291
Data has not been verified.
DIME Test ID: 2025-11-04-27-2
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Submitted By Organization: Pinnacle Prestress, Incorporated
Organization Address: 425 J Street,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93820
Organization Email: anthony.pace@pinnacleprestress.com
Organization Phone: (661) 748-5291
Data has not been verified.
DIME Test ID: 2025-11-04-27-3
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: Pinnacle Prestress, Incorporated
Organization Address: 425 J Street,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93820
Organization Email: anthony.pace@pinnacleprestress.com
Organization Phone: (661) 748-5291
Data has not been verified.
DIME Test ID: 2025-11-04-27-4
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Submitted By Organization: Pinnacle Prestress, Incorporated
Organization Address: 425 J Street,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93820
Organization Email: anthony.pace@pinnacleprestress.com
Organization Phone: (661) 748-5291
Data has not been verified.
DIME Test ID: 2025-11-04-27-5
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: Pinnacle Prestress, Incorporated
Organization Address: 425 J Street,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93820
Organization Email: anthony.pace@pinnacleprestress.com
Organization Phone: (661) 748-5291
Data has not been verified.
