Sample Record for 2023-01-20-7
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: 2023-01-20-7
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: 01/20/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/20/2023
The quantity of what the sample constitutes: 38 Cubic Yards
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: ND15518C
The truck number from where the sample was collected: 9187 load4
The batch plant ticket number from where the sample was collected: 207289730
Concrete batch plant: Golden Empire Bakersfield
The fabricator/manufacturer designation for the sample: 14 beams at jobsite 90 and 91
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
Test 1 of 1
DIME Test ID: 2023-01-20-7-1
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 01/20/2023
Date Tested: 01/20/2023
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: complies
Additional Comments When Verified:
