Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001571 DEA: 051Q1604 EFIS: 0522000177
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-1-60.0
Work Description: ELECTROCHEMICAL CHLORIDE EXTRACTION (ECE) OF BRIDGE STRUCTURE.
Location Description: MONTEREY COUNTY NEAR BIG SUR AT ROCKY CREEK BRIDGE
Contractor Name: American Civil Constructors West Coast
Contractor Address: 2990 Bay Vista Court, suite D, Benicia, CA 94510
Resident Engineer: Tommy Munro Structure Rep.: Tommy Munro
DIME Sample ID: 2026-04-28-9
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Monterey Construction Field Laboratory
Sample Organization Contact: 831-818-0254
Type of Sample: Quality Assurance
Type of Material: Rapid Set
Sample Taken Date: 04/28/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/28/2026
The quantity of what the sample constitutes: Spall Repair Trial
A brief description of the sample: Spall Repair Filler
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ACC West Coast
DIME Test ID: 2026-04-28-9-2
Test Method: FFS 1-23: Field Investigation Report (FIR)
Verified Date: 05/27/2026
Date Tested: 04/28/2026
Submitted By Organization: CT D05 - Monterey Construction Field Laboratory
Organization Address: 1529 Salinas Highway,
Organization City: Monterey
Organization State: CA
Organization Zipcode: 93940
Organization Email: wesley.rider@dot.ca.gov
Organization Phone: (831) 818-0254
General Comments for this Test: 1 set of 3 4x8 cylinders to be broken at 3 hour mark.
Test Result Compliance: not applicable
Additional Comments When Verified:
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Requesting office
|
Monterey Construction
|
|
Requesting district
|
5
|
|
Date of requested service
|
0000-00-00
|
|
Tests requested
|
CTM 521
|
|
Job description and purpose
|
ECE and spall repair
|
|
Lane closure needed or not?
|
Yes
|
|
Night shift needed or not?
|
No
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|
Special equipment required
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no data
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Are there any other Caltrans offices or consultants involved in the job?
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no data
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Job date
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0000-00-00
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|
Number of employees involved
|
no data
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Are field samples submitted to a laboratory for additional tests?
|
no data
|
DIME Test ID: 2026-04-28-9-3
Test Method: FFS 1-23: Field Investigation Report (FIR)
Verified Date: 05/27/2026
Date Tested: 04/29/2026
Submitted By Organization: CT D05 - Monterey Construction Field Laboratory
Organization Address: 1529 Salinas Highway,
Organization City: Monterey
Organization State: CA
Organization Zipcode: 93940
Organization Email: wesley.rider@dot.ca.gov
Organization Phone: (831) 818-0254
General Comments for this Test: 1 set of 3 4x8 cylinders to be broken at 24 hour mark
Test Result Compliance: not applicable
Additional Comments When Verified:
|
Requesting office
|
Monterey Construction
|
|
Requesting district
|
5
|
|
Date of requested service
|
0000-00-00
|
|
Tests requested
|
CTM 521
|
|
Job description and purpose
|
ECE and spall repair
|
|
Lane closure needed or not?
|
Yes
|
|
Night shift needed or not?
|
No
|
|
Special equipment required
|
no data
|
|
Are there any other Caltrans offices or consultants involved in the job?
|
no data
|
|
Job date
|
0000-00-00
|
|
Number of employees involved
|
no data
|
|
Are field samples submitted to a laboratory for additional tests?
|
no data
|
DIME Test ID: 2026-04-28-9-4
Test Method: FFS 1-23: Field Investigation Report (FIR)
Verified Date: 05/27/2026
Date Tested: 04/30/2026
Submitted By Organization: CT D05 - Monterey Construction Field Laboratory
Organization Address: 1529 Salinas Highway,
Organization City: Monterey
Organization State: CA
Organization Zipcode: 93940
Organization Email: wesley.rider@dot.ca.gov
Organization Phone: (831) 818-0254
General Comments for this Test: 1 set of 3 4x8 cylinders to be broken at 48 hour mark.
Test Result Compliance: not applicable
Additional Comments When Verified:
|
Requesting office
|
Monterey Construction
|
|
Requesting district
|
5
|
|
Date of requested service
|
0000-00-00
|
|
Tests requested
|
CTM 521
|
|
Job description and purpose
|
ECE and spall repair
|
|
Lane closure needed or not?
|
Yes
|
|
Night shift needed or not?
|
No
|
|
Special equipment required
|
no data
|
|
Are there any other Caltrans offices or consultants involved in the job?
|
no data
|
|
Job date
|
0000-00-00
|
|
Number of employees involved
|
no data
|
|
Are field samples submitted to a laboratory for additional tests?
|
no data
|
DIME Test ID: 2026-04-28-9-5
Test Method: FFS 1-23: Field Investigation Report (FIR)
Verified Date: 05/27/2026
Date Tested: 05/26/2026
Submitted By Organization: CT D05 - Monterey Construction Field Laboratory
Organization Address: 1529 Salinas Highway,
Organization City: Monterey
Organization State: CA
Organization Zipcode: 93940
Organization Email: wesley.rider@dot.ca.gov
Organization Phone: (831) 818-0254
General Comments for this Test: 1 set of 3 4x8 cylinders to be broken at 28 day mark.
Test Result Compliance: not applicable
Additional Comments When Verified:
|
Requesting office
|
Monterey Construction
|
|
Requesting district
|
5
|
|
Date of requested service
|
0000-00-00
|
|
Tests requested
|
CTM 521
|
|
Job description and purpose
|
ECE and spall repair
|
|
Lane closure needed or not?
|
Yes
|
|
Night shift needed or not?
|
No
|
|
Special equipment required
|
no data
|
|
Are there any other Caltrans offices or consultants involved in the job?
|
no data
|
|
Job date
|
0000-00-00
|
|
Number of employees involved
|
no data
|
|
Are field samples submitted to a laboratory for additional tests?
|
no data
|
DIME Test ID: 2026-04-28-9-6
Test Method: FFS 1-23: Field Investigation Report (FIR)
Verified Date: 05/27/2026
Date Tested: 04/28/2026
Submitted By Organization: CT D05 - Monterey Construction Field Laboratory
Organization Address: 1529 Salinas Highway,
Organization City: Monterey
Organization State: CA
Organization Zipcode: 93940
Organization Email: wesley.rider@dot.ca.gov
Organization Phone: (831) 818-0254
General Comments for this Test: 1 set of 3 4x8 cylinders to be broken at 6 hour mark.
Test Result Compliance: not applicable
Additional Comments When Verified:
|
Requesting office
|
Monterey Construction
|
|
Requesting district
|
5
|
|
Date of requested service
|
0000-00-00
|
|
Tests requested
|
CTM 521
|
|
Job description and purpose
|
ECE and spall repair
|
|
Lane closure needed or not?
|
Yes
|
|
Night shift needed or not?
|
No
|
|
Special equipment required
|
no data
|
|
Are there any other Caltrans offices or consultants involved in the job?
|
no data
|
|
Job date
|
0000-00-00
|
|
Number of employees involved
|
no data
|
|
Are field samples submitted to a laboratory for additional tests?
|
no data
|
