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 # 042640F4 Cty SON Rte PM

Vendor #


REPORT OF LABORATORY TESTING

Resident Engineer:

Gina Choi

Date Reported:

Address:

TL Number:

City:

Project Name:

Prime Contractor: GHILOTTI CONSTRUCTION CO. INC.

Sample Taken Date:

04/02/2022

Mix Design:

4201A

Contractor: Unknown

Location :

Structure unique identifier: 20-E0101

Structure name: RW3

Location of Pour: RW3 Wall St 1000 to 1096 1336 to 1408


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