Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215788 DEA: 101C7904 EFIS: 1016000046
QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-5-0.4
Work Description: BUILDING WORK.
Location Description: MERCED COUNTY 0.4 MILE NORTH OF THE FRESNO COUNTY LINE AT THE JOHN "CHUCK" ERRECA SAFETY ROADSIDE REST AREA
Contractor Name: Walsh Construction Company II, LLC (Walsh) - Bryce Frederick
Contractor Address: 1390 Willow Pass Road Suite 950, Concord, CA 94520
Resident Engineer: Zubair Anwar Structure Rep.: Ramandeep "Raman" Guraya
DIME Sample ID: 2023-05-25-62
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: 05/25/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/25/2023
The quantity of what the sample constitutes: 1 Day
A brief description of the sample: CTE Cylinder
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CVC Chowchilla
The concrete mix design number: JPCP1
The truck number from where the sample was collected: 255
The batch plant ticket number from where the sample was collected: 162811
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-05-25-62-1
Test Method: AASHTO T336-15: Standard Method of Test for Coefficient of Thermal Expansion of Hydraulic Cement Concrete
Verified Date: 06/14/2023
Date Tested: 06/02/2023
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:
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Average CTE
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9.851 mm/mm/°C
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Average CTE
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5.473 in/in/°F
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