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Sample Record for 2022-11-15-24

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

Project Information

Project ID: 215317 DEA: 101J0104 EFIS: 1018000079 QA Service Level: 1
DIST-CO-RTE-PM: 10-CAL,CAL-88,34-34.6/2.2
Work Description: Construct fuel island canopies.
Location Description: In Calaveras and Alpine counties on Route 26 at the West Point Maintenance Station and on Route 88 at the Caples Lake Maintenance Station.
Contractor Name: CAL ELECTRO, INC. - Valerie Jenkins
Contractor Address: 3710 Electro Way, Redding, CA 96002
Resident Engineer: Pawan Garg Structure Rep.: Brandon Thurber

Sample Information

DIME Sample ID: 2022-11-15-24
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: 11/15/2022
Date that the sample was received by the laboratory/organization performing the testing: 11/15/2022
The quantity of what the sample constitutes: 1 Day
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: 711 Material

Material Information

The concrete mix design number: 718816A6
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 815410
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: CIDH piles around the diesel tank
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: 2022-11-15-24-1
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 11/17/2022
Date Tested: 11/15/2022
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: 2022-11-15-24-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 11/17/2022
Date Tested: 11/15/2022
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: 2022-11-15-24-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/18/2022
Date Tested: 12/13/2022
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) 6060 psi
Maximum load on cylinder 1 184140 lb
Maximum load on cylinder 2 158330 lb
Type of fracture pattern of cylinder 1 2
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