Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995240 DEA: 060X3804 EFIS: 0618000060
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-166-0.0/10.2
Work Description: COLD PLANE, PLACE HMA AND CONCRETE PAVEMENT, MODIFY DRAINAGE SYSTEM.
Location Description: KERN COUNTY IN AND NEAR MARICOPA FROM SOUTH JUNCTION ROUTE 33 TO 2.3 MILES WEST OF SAN EMIGDIO CREEK BRIDGE
Contractor Name: Griffith Company
Contractor Address: 1128 Carrier Parkway, Bakersfield ,CA 93308
Resident Engineer: Joy Denny Structure Rep.: Travis Landis
DIME Sample ID: 2024-07-30-103
TL Number from the TL Form:
Sample Submitted By Organization: Precon Products - Simi Valley
Sample Organization Contact: (805) 297-5145
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 07/30/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/30/2024
The quantity of what the sample constitutes: 3 4x8 concrete cylinder
A brief description of the sample: 3 4x8 concrete cylinder molds
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Precon Products
The concrete mix design number: SE-10125
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 30165
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: WHEEL BARROW
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-07-30-103-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Submitted By Organization: Precon Products - Simi Valley
Organization Address: 240 West Los Angeles Avenue,
Organization City: Simi Valley
Organization State: CA
Organization Zipcode: 93065
Organization Email: Maximus@preconproducts.com
Organization Phone: 8052975145
Data has not been verified.
