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Sample Record for 2022-08-01-59

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

Project Information

Project ID: 212720 DEA: 07291404 EFIS: 0712000094 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-1-55-58
Work Description: TRANCAS CREEK BRIDGE REPLACEMENT
Location Description: IN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027).
Contractor Name: STACY AND WITBECK, INC.
Contractor Address: 3939 Atlantic Ave Suite 114, Long Beach, CA 90807
Resident Engineer: Dan Leon Structure Rep.: Frank Lofti

Sample Information

DIME Sample ID: 2022-08-01-59
TL Number from the TL Form:
Sample Submitted By Organization: Bethlehem Construction, Incorporated
Sample Organization Contact: (661) 758-1001
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 08/01/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/01/2022
The quantity of what the sample constitutes: 24CY
A brief description of the sample: Voided Slab
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bethlehem Construction

Material Information

The concrete mix design number: SCC-ASH-32_3
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 0009639
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: MIDDLE OF THE LOAD
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2022-08-01-59-1
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 08/30/2022
Date Tested: 08/01/2022
Submitted By Organization: Bethlehem Construction, Incorporated
Organization Address: 425 J Street,
Organization City: Wasco
Organization State: CA
Organization Zipcode: 93280
Organization Email: keithl@bethlehemconstruction.com
Organization Phone: (661) 758-1001
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample 0009639
Volume of the measure 0.244 ft^3
Density of concrete 153.22 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content 2608 lb/yd^3
Air content 2.1 %