Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215425 DEA: 06360244 EFIS: 0613000005
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-30.6/35.2
Work Description: Widen Freeway & Bridge Construction (Concrete Bridge)
Location Description:
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVE, SYLMAR, CA, 91342
Resident Engineer: Javier Huerta Structure Rep.: Ramandeep Guraya
DIME Sample ID: 2023-04-05-16
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: 04/05/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/05/2023
The quantity of what the sample constitutes: 10
A brief description of the sample: JPCP pour
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: tulare concrete plant
The concrete mix design number: 72444NOM
The truck number from where the sample was collected: 1796 load 1
The batch plant ticket number from where the sample was collected: 123757
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of the truck Load 1
Where the material sample would have been placed if not sampled: jobsite JPCP lane
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-04-05-16-1
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 04/05/2023
Date Tested: 04/05/2023
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:
DIME Test ID: 2023-04-05-16-2
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 04/05/2023
Date Tested: 04/05/2023
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:
|
Unit weight of the concrete
|
151.4 lb/ft^3
|
|
Volume of the concrete
|
9.636 yd^3
|
|
Cement content
|
661.063 lb/yd^3
|
DIME Test ID: 2023-04-05-16-3
Test Method: CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete
Verified Date: 04/05/2023
Date Tested: 04/05/2023
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:
|
Ball penetration in freshly mixed concrete (average)
|
1.5 inch
|
DIME Test ID: 2023-04-05-16-4
Test Method: CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement Concrete
Verified Date: 04/05/2023
Date Tested: 04/05/2023
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:
|
Temperature of the freshly mixed concrete
|
59 F
|
