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Sample Record for 2023-01-12-3

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

Project Information

Project ID: 993386 DEA: 060R1904 EFIS: 0614000057 COOP: 061783 QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-184,223-L0.0/L0.3,R15.7/R16.3
Work Description: CONSTRUCT ROUNDABOUT, CURB RAMPS, AND LIGHTING SYSTEMS.
Location Description: KERN COUNTY NEAR ARVIN ON ROUTE 184 FROM ROUTE 223 TO 0.3 MILE NORTH OF ROUTE 223 AND ON ROUTE 223 FROM 0.3 MILE WEST OF ROUTE 184 TO 0.3 MILE EAST OF ROUTE 184
Contractor Name: Griffith Company
Contractor Address: 1128 Carrier Parkway, Bakersfield ,CA 93308
Resident Engineer: Amarjit Dhaliwal Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-01-12-3
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 01/12/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/12/2023
The quantity of what the sample constitutes: windrow at jobsite
A brief description of the sample: JPCP concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Golden Empire - Bakersfield

Material Information

The concrete mix design number: ND 15518C
The truck number from where the sample was collected: Load 4 truck 9199
The batch plant ticket number from where the sample was collected: 207289456
Concrete batch plant: Golden empire concrete Bakersfield
The fabricator/manufacturer designation for the sample: jobsite
A detailed description of where the material sample was collected: Back of Truck
Where the material sample would have been placed if not sampled: pavement
From Lot No.:
Bag Lot No.:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2023-01-12-3-1
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 01/13/2023
Date Tested: 01/12/2023
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit weight of the concrete 148.24 lb/ft^3
Volume of the concrete 9.33 yd^3
Cement content 683.816 lb/yd^3