Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214627 DEA: 05344904 EFIS: 0500000505
QA Service Level: 1
DIST-CO-RTE-PM: 05-SBT-156-3/R8.2
Work Description: SAN BENITO ROUTE 156 IMPROVEMENT PROJECT SAN BENITO RTE 156 IMPROVEMENT PROJECT; INCLUDES NEW BRIDGE AND WIDENING OF EXISTING BRIDGE.
Location Description: SAN BENITO COUNTY IN AND NEAR SAN JUAN BAUTISTA FROM THE ALAMEDA TO 0.2 MILE EAST OF FOURTH STREET/BUSINESS ROUTE 156
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 223 Harrison Road 1B, Salinas, CA 93907
Resident Engineer: Frank (Farrukh) Sana Structure Rep.: Neil Weller
DIME Sample ID: 2023-11-01-132
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Authorization
Type of Material: Concrete
Sample Taken Date: 11/01/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/07/2023
The quantity of what the sample constitutes: Mix Design
A brief description of the sample: 4" Dia. Concrete Cyl.
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert
The concrete mix design number: 58LCB4159
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: na
Concrete batch plant:
The fabricator/manufacturer designation for the sample: 58LCB4159-1
A detailed description of where the material sample was collected: bulk
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-11-01-132-1
Test Method: AASHTO T336-15: Standard Method of Test for Coefficient of Thermal Expansion of Hydraulic Cement Concrete
Verified Date: 02/05/2024
Date Tested: 12/19/2023
Submitted By Organization: WSP USA - San Diego
Organization Address: 690 Walnut Avenue,
Organization City: Vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: aaron.franklin@dot.ca.gov
Organization Phone: (858) 699-0513
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Average CTE
|
2.8
|
|
Average CTE
|
5
|
