Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995487 DEA: 043W7604 EFIS: 0422000033
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-37-R7.3/R8.0
Work Description: POLYESTER CONCRETE OVERLAY.
Location Description: SOLANO COUNTY IN AND NEAR VALLEJO FROM 0.2 MILE EAST OF WALNUT STREET OVERCROSSING TO 0.5 MILE WEST OF SACRAMENTO STREET OVERCROSSING
Contractor Name: AMERICAN CIVIL CONSTRUCTORS WEST COAST, LLC
Contractor Address: 2990 Bay Vista Court, Benicia, CA 94510
Resident Engineer: Quang Tran Structure Rep.: Unknown
DIME Sample ID: 2024-06-17-91
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: 06/17/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/17/2024
The quantity of what the sample constitutes: 100 syd
A brief description of the sample: Relative Compaction of Polymer Concrete
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ACC
DIME Test ID: 2024-06-17-91-1
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: 06/17/2024
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 results are and average of 3 results
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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22:00 HH:MM
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Standard Density
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0.53 g/cc
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In-Place Density
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0.51 g/cc
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Percent Relative Compaction
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98 %
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