Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 211848 DEA: 112T2174 EFIS: 1116000131
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R37.4 - R46.5
Work Description: (Alternative Delivery) CMGC, San Elijo Highway Bridge Replacement. Replace the San Elijo lagoon highway bridge, construct HOV lanes, construct bike and pedestrian trails and bridge, build multi-use facility at Manchester Ave.
Location Description: IN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS FROM 0.1 MILE NORTH OF LOMAS SANTA FE DRIVE OVERCROSSING TO 0.2 MILE SOUTH OF BIRMINGHAM DRIVE OVERCROSSING
Contractor Name: Flatiron-Skanska-Stacy and Witbeck, a Joint Venture
Contractor Address: 1770 La Costa Meadows Drive, San Marcos, CA 92078
Resident Engineer: Steve McMillan Structure Rep.: Phong Le
DIME Sample ID: 2018-10-15-5
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Cement Testing Laboratory
Sample Organization Contact: (916) 227-7071
Type of Sample: Per Request
Type of Material: Cementitious
Sample Taken Date: 10/15/2018
Date that the sample was received by the laboratory/organization performing the testing: 10/15/2018
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Class F Flyash
From where was the sample collected: Job Site
Laboratory sample identification: CM183801
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Boral
DIME Test ID: 2018-10-15-5-1
Test Method: ASTM C109-11: Compressive Strength of Hydraulic Cement Mortars (Using 2-in. or [50mm] Cube Specimens)
Submitted By Organization: CT HQ - Sacramento Cement Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: ben.lenz@dot.ca.gov
Organization Phone: (916) 227-7071
Data has not been verified.
