Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994767 DEA: 043Q5304 EFIS: 0419000221
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-4,242,680-VAR
Work Description: POLYESTER CONCRETE OVERLAY, GRIND BRIDGE DECK, & REPLACE JOINT SEALS.
Location Description: CONTRA COSTA COUNTY AT VARIOUS LOCATIONS
Contractor Name: MYERS & SONS CONSTRUCTION, LLC
Contractor Address: 45 Morrison Avenue, Sacramento, CA 95838
Resident Engineer: Rabindra Mukherjee Structure Rep.: Unknown
DIME Sample ID: 2024-05-29-80
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Polyester
Sample Taken Date: 05/29/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/29/2024
The quantity of what the sample constitutes: 67 SYD
A brief description of the sample: polyester relative density
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Meyers and sons
DIME Test ID: 2024-05-29-80-1
Test Method: CTM 552-December 2013: Method of Test for Relative Compaction of Polymer Concrete Utilizing Nuclear Gages
Verified Date: 06/25/2024
Date Tested: 05/29/2024
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test: the densities are an average of 3
Test Result Compliance: complies
Additional Comments When Verified:
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Gage No.
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685
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Time of test
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23:00 HH:MM
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Standard Density
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0.97 g/cc
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In-Place Density
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0.96 g/cc
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Percent Relative Compaction
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99 %
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