Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 210862 DEA: 031F4004 EFIS: 0300020420
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-35.1/38.3
Work Description: WIDEN EASTBOUND ROADWAY
Location Description: WIDEN EASTBOUND ROADWAY
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 400 Sunrise Ave. Ste. 300, Roseville, CA 95661
Resident Engineer: Phil Zink Structure Rep.: Carl Anderson
DIME Sample ID: 2017-08-11-9
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 594-1991
Type of Sample: Verification
Type of Material: Concrete Core
Sample Taken Date: 08/11/2017
Date that the sample was received by the laboratory/organization performing the testing: 08/14/2017
The quantity of what the sample constitutes: 3.70 cores
A brief description of the sample: cores
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: unk
DIME Test ID: 2017-08-11-9-1
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
Verified Date: 08/18/2017
Date Tested: 08/15/2017
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: spencer.adams@dot.ca.gov
Organization Phone: (916) 227-5716
General Comments for this Test: 295+45
Test Result Compliance:
Additional Comments When Verified:
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Length of Core
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5.95 in
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L/D Ratio
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1.63
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Diameter of Core
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3.65 in
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Type of Fracture
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1
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Age of Specimen
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50 days
|
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Compressive Strength
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5740 psi
|
|
Correction Factor
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0.97
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Corrected Strength
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5570 psi
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Calculated Density
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0 lb/ft^3
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