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Sample Record for 2024-08-29-6

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 995535 DEA: 120T8704 EFIS: 1222000110 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5,57-30.3/39.6,10.7/21.8
Work Description: APPLY METHACRYLATE, POLYESTER CONCRETE, AND REPLACE JOINT SEALS.
Location Description: ORANGE COUNTY AT VARIOUS LOCATIONS ON ROUTE 5 FROM ROUTE 5/55 SEPARATION TO EUCLID STREET OVERCROSSING AND ON ROUTE 57 FROM ROUTE 5/57 SEPARATION TO TONNER CANYON ROAD UNDERCROSSING
Contractor Name: TRUESDELL CORPORATION OF CALIFORNIA, INC.
Contractor Address: 1310 W. 23rd Street, Temple, AZ 85282
Resident Engineer: Karim Ahmed Structure Rep.: Bijan Ronagh-Langroodi

Sample Information

DIME Sample ID: 2024-08-29-6
TL Number from the TL Form:
Sample Submitted By Organization: Precast Unlimited Inc.
Sample Organization Contact: (530) 243-6477
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 08/29/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/29/2024
The quantity of what the sample constitutes: 3cy
A brief description of the sample: 12 4x8 concrete cylinders
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Folsom Ready Mix

Material Information

The concrete mix design number: PC65A0E1
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 2487
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2024-08-29-6-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 08/29/2024
Date Tested: 08/29/2024
Submitted By Organization: Precast Unlimited Inc.
Organization Address: 16538 Clear Creek Rd.,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: chase@precastunlimited.com
Organization Phone: 1 (530) 243-6477
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 89 F

Test 2 of 4

DIME Test ID: 2024-08-29-6-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 08/29/2024
Date Tested: 08/29/2024
Submitted By Organization: Precast Unlimited Inc.
Organization Address: 16538 Clear Creek Rd.,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: chase@precastunlimited.com
Organization Phone: 1 (530) 243-6477
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 7.25 inch

Test 3 of 4

DIME Test ID: 2024-08-29-6-3
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 08/29/2024
Date Tested: 08/29/2024
Submitted By Organization: Precast Unlimited Inc.
Organization Address: 16538 Clear Creek Rd.,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: chase@precastunlimited.com
Organization Phone: 1 (530) 243-6477
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air content 1.3 %

Test 4 of 4

DIME Test ID: 2024-08-29-6-4
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 08/29/2024
Date Tested: 08/29/2024
Submitted By Organization: Precast Unlimited Inc.
Organization Address: 16538 Clear Creek Rd.,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: chase@precastunlimited.com
Organization Phone: 1 (530) 243-6477
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample RVC082924
Volume of the measure 0.249 ft^3
Density of concrete 147.1 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content no data
Air content no data