STATE OF CALIFORNIA - CALIFORNIA STATE TRANSPORTATION AGENCY

Gavin Newsom, Governor

DEPARTMENT OF TRANSPORTATION

DIVISION OF ENGINEERING SERVICES

MATERIALS ENGINEERING AND TESTING SERVICES

Concrete Materials Testing Branch

5900 Folsom Blvd.

Sacramento, CA 95819

916-227-7205

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Contract # 043Y6404 Cty MRN Rte 101 PM 24.01/24.01

Vendor #


REPORT OF LABORATORY TESTING

Resident Engineer:

Fabio La serna

Date Reported:

11/13/2023

Address:

TL Number:

City:

Project Name:

Prime Contractor: Ghilotti Construction Company

Sample Taken Date:

06/22/2023

Mix Design:

SL-4700CG

Contractor: Unknown

Location :

Structure unique identifier:

Structure name: San Antonio Blvd - Emergency Soldier Pile Wall

Location of Pour: Piles 7 and 9


The following testing has been tested in accordance with:

ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete

Temperature
75

DIME Test ID: 2023-06-22-9-2
Certified By: Philip Latasa


ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete

Slump
7.5

DIME Test ID: 2023-06-22-9-3
Certified By: Philip Latasa



Summary of Items Observed and Conversations:

Test ID: 2023-06-22-9-1: Please break and provide results to Mr. Light.

Comments: This report is for the purpose of reporting test results.
Should you require recommendations concerning repairs or remedial efforts please contact the METS representative,
who represents the Materials Engineering and Testing Services for your project.

*Subject to final inspection by the Resident Engineer.




TL- Report of Laboratory Testing