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Sample Record for 2021-10-07-117

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 214686 DEA: 030H4004 EFIS: 0315000164 QA Service Level: 1
DIST-CO-RTE-PM: 03-NEV,PLA,YOL-80-VAR
Work Description: REPLACE ELECTRICAL SIGNS & INSTALL FIBER OPTIC COMMUNICATION LINES.
Location Description: NEVADA, PLACER AND YOLO COUNTIES AT VARIOUS LOCATIONS
Contractor Name: ALFARO COMMUNICATIONS CONSTRUCTION, INC
Contractor Address: 15614 S ATLANTIC AVENUE, COMPTON CA 90221
Resident Engineer: Rakesh Chander Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-10-07-117
TL Number from the TL Form:
Sample Submitted By Organization: RMA Group - Rancho Cordova
Sample Organization Contact: (916) 631-7194
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 10/07/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/07/2021
The quantity of what the sample constitutes: 100 cy
A brief description of the sample: Concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TNT Materials - Truckee

Material Information

The concrete mix design number: 6691
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 354831
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Location 4 Pile Foundation
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2021-10-07-117-1
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 04/13/2022
Date Tested: 10/07/2021
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: (916) 631-7194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 61 F

Test 2 of 3

DIME Test ID: 2021-10-07-117-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 04/13/2022
Date Tested: 10/07/2021
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: (916) 631-7194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 5.25 inch

Test 3 of 3

DIME Test ID: 2021-10-07-117-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 04/13/2022
Date Tested: 11/04/2021
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: (916) 631-7194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 5340 psi
Maximum load on cylinder 1 151460 lb
Maximum load on cylinder 2 150480 lb
Type of fracture pattern of cylinder 1 5
Type of fracture pattern of cylinder 2 5
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 28 days
Age of specimen in hours no data0 hours