STATE OF CALIFORNIA - CALIFORNIA STATE TRANSPORTATION AGENCY

Gavin Newsom, Governor

DEPARTMENT OF TRANSPORTATION

DIVISION OF ENGINEERING SERVICES

MATERIALS ENGINEERING AND TESTING SERVICES

Concrete Materials Testing Branch

5900 Folsom Blvd.

Sacramento, CA 95819

916-227-7205

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Contract # 0322222 Cty SAC Rte 888 PM 0.6-0.6

Vendor #


REPORT OF LABORATORY TESTING

Resident Engineer:

Michael Maksimovich

Date Reported:

Address:

TL Number:

City:

Project Name: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.

Prime Contractor: Not set

Sample Taken Date:

02/13/2019

Mix Design:

111111111111

Contractor: Unknown

Location : THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.

Structure unique identifier: Unknown

Structure name: Unknown

Location of Pour: Unknown


The following testing has been tested in accordance with:


Summary of Items Observed and Conversations:

Comments: This report is for the purpose of reporting test results.
Should you require recommendations concerning repairs or remedial efforts please contact the METS representative,
who represents the Materials Engineering and Testing Services for your project.

*Subject to final inspection by the Resident Engineer.




TL- Report of Laboratory Testing