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 # 07187224 Cty LA Rte 126 PM R6.8/R9.2

Vendor #


REPORT OF LABORATORY TESTING

Resident Engineer:

Daniel Widjaja

Date Reported:

Address:

TL Number:

C1216

City:

Project Name: SR 126/Commerce Center Drive Interchange Project

Prime Contractor: C.A. Rasmussen, Inc.

Sample Taken Date:

05/25/2016

Mix Design:

Unknown

Contractor: Unknown

Location : Northwest of the City of Santa Clarita in unincorporated Los Angeles County

Structure unique identifier: Unknown

Structure name: Unknown

Location of Pour: Unknown


No results found


Summary of Items Observed and Conversations:

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