Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 209175 DEA: 030F2204 EFIS: 0300000072
QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-R30.7/R31.7
Work Description: REPLACE BRIDGE.
Location Description: SLY PARK UNDERCROSSING
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. Box 1508 , Rancho Cordova, CA 95741
Resident Engineer: Jarrett Woodruff Structure Rep.: Brandon Miller
DIME Sample ID: 2014-07-15-8305583
TL Number from the TL Form:
Sample Submitted By Organization: Viking Construction Company, Incorporated - Rancho Cordova
Sample Organization Contact: (916) 852-5530
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 07/15/2014
Date that the sample was received by the laboratory/organization performing the testing: 07/15/2014
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Abutment 1 Stage 1 East Wingwall Concrete
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Folsom Ready Mix
The concrete mix design number: SF718AFST0
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 1046208
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Folsom Ready Mix Stockpile
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2014-07-15-8305583-1
Test Method: ASTM C138-10b: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 07/17/2014
Date Tested: 07/15/2014
Submitted By Organization: Viking Construction Company, Incorporated - Rancho Cordova
Organization Address: 11315 Sunrise Gold Circle, Suite A,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: dfishback@vikingbridges.com
Organization Phone: (916) 852-5530
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample
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Abutment 1 Stage 1 East Wingwall Concrete
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Volume of the measure
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4.008 ft^3
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Density of concrete
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144.3 lb/ft^3
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Yield of concrete
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no data
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Relative yield of the batch
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no data
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Cement content
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no data
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Air content
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no data
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DIME Test ID: 2014-07-15-8305583-2
Test Method: ASTM C1064-08: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 07/17/2014
Date Tested: 07/15/2014
Submitted By Organization: Viking Construction Company, Incorporated - Rancho Cordova
Organization Address: 11315 Sunrise Gold Circle, Suite A,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: dfishback@vikingbridges.com
Organization Phone: (916) 852-5530
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2014-07-15-8305583-3
Test Method: ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 07/17/2014
Date Tested: 07/15/2014
Submitted By Organization: Viking Construction Company, Incorporated - Rancho Cordova
Organization Address: 11315 Sunrise Gold Circle, Suite A,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: dfishback@vikingbridges.com
Organization Phone: (916) 852-5530
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2014-07-15-8305583-4
Test Method: ASTM C231-10: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 07/17/2014
Date Tested: 07/15/2014
Submitted By Organization: Viking Construction Company, Incorporated - Rancho Cordova
Organization Address: 11315 Sunrise Gold Circle, Suite A,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: dfishback@vikingbridges.com
Organization Phone: (916) 852-5530
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2014-07-15-8305583-5
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: 07/30/2014
Date Tested: 07/23/2014
Submitted By Organization: Viking Construction Company, Incorporated - Rancho Cordova
Organization Address: 11315 Sunrise Gold Circle, Suite A,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: dfishback@vikingbridges.com
Organization Phone: (916) 852-5530
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used?
|
US Units
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Number of specimens
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1
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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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DIME Test ID: 2014-07-15-8305583-6
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: 07/30/2014
Date Tested: 07/22/2014
Submitted By Organization: Viking Construction Company, Incorporated - Rancho Cordova
Organization Address: 11315 Sunrise Gold Circle, Suite A,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: dfishback@vikingbridges.com
Organization Phone: (916) 852-5530
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used?
|
US Units
|
Number of specimens
|
1
|
Test performed
|
no data
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|