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: 2013-07-15-7816
TL Number from the TL Form:
Sample Submitted By Organization: Twining, Incorporated - San Bernardino
Sample Organization Contact: (909) 383-6660
Type of Sample: Verification
Type of Material: Concrete
Sample Taken Date: 07/15/2013
Date that the sample was received by the laboratory/organization performing the testing: 07/19/2013
The quantity of what the sample constitutes: 4
A brief description of the sample: 6X12 cylinders TX1 cement
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hi-Grade
The concrete mix design number: HG53401Z
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 555881
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Abutment 4 seat and wing walls
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2013-07-15-7816-1
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: 08/05/2013
Date Tested: 08/05/2013
Submitted By Organization: Twining, Incorporated - San Bernardino
Organization Address: 732 East Carnegie Drive, Suite 100,
Organization City: San Bernadino
Organization State: CA
Organization Zipcode: 92408
Organization Email: clucero@twininginc.com
Organization Phone: 9093836660
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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