Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 8127 DEA: 080N5904 EFIS: 0800000533
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R85.2
Work Description: CONSTRUCT PC/PS BULB-TEE GIRDER BRIDGE
Location Description: SAN BERNARDINO COUNTY NEAR ESSEX AT VAN WINKLE WASH BRIDGE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: P.O. Box 50085, Watsonville, CA 95077
Resident Engineer: Khoa Nguyen Structure Rep.: Ching Chuang
DIME Sample ID: 2013-07-20-6224317
TL Number from the TL Form:
Sample Submitted By Organization: SCST, LLC
Sample Organization Contact: (619) 280-4321
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 07/20/2013
Date that the sample was received by the laboratory/organization performing the testing: 07/21/2013
The quantity of what the sample constitutes: 4 cylinders
A brief description of the sample: concrete cylinders
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: High Grade
The concrete mix design number: HG53401R
The truck number from where the sample was collected: 174
The batch plant ticket number from where the sample was collected: 810770
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Bent no. 2 - North Column
Where the material sample would have been placed if not sampled: Bent no. 2 - North Column
From Lot No.:
Bag Lot No.:
DIME Test ID: 2013-07-20-6224317-1
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 07/29/2013
Date Tested: 07/20/2013
Submitted By Organization: SCST, LLC
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 528-4716
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2013-07-20-6224317-2
Test Method: CTM 556-June 2010: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 07/29/2013
Date Tested: 07/20/2013
Submitted By Organization: SCST, LLC
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 528-4716
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2013-07-20-6224317-3
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/29/2013
Date Tested: 07/29/2013
Submitted By Organization: SCST, LLC
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 528-4716
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Number of specimens
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no data
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Cylinder Age
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9 days
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Break Description of Cylinder 1 (if not 'cone')
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no data
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DIME Test ID: 2013-07-20-6224317-4
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521 Cured in accordance with ASTM C511
Verified Date: 08/19/2013
Date Tested: 08/19/2013
Submitted By Organization: SCST, LLC
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 528-4716
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Unit system used?
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US Units
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Number of specimens
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2
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Test performed
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no data
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Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
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