Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212785 DEA: 04014114 EFIS: 0414000436
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-80-2.1
Work Description: CONSTRUCT MAINTENANCE BUILDING AND PARKING LOT
Location Description: IN ALAMEDA COUNTY IN OAKLAND AT THE SAN FRANCISCO-OAKLAND BAY BRIDGE MAINTENANCE YARD
Contractor Name: THOMPSON BUILDERS CORPORATION
Contractor Address: 250 Bel Marin Keys Blvd, #A, Novato, CA 94949
Resident Engineer: Behzad Halali Structure Rep.: Ahmed Moin
DIME Sample ID: 2018-06-28-12
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 06/28/2018
Date that the sample was received by the laboratory/organization performing the testing: 06/29/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: Concrete Cylinder 6 x 12
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier: Unknown
Structure name: Unknown
The fabricator/manufacturer/facility name: kiecon
The concrete mix design number: CT60-W41 R1
The truck number from where the sample was collected: Unknown
The batch plant ticket number from where the sample was collected: UNK
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: fabriator
Where the material sample would have been placed if not sampled: Unknown
From Lot No.: Unknown
Bag Lot No.: Unknown
DIME Test ID: 2018-06-28-12-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: CT HQ - QASI Bay Area Field Office
Organization Address: 690 Walnut Avenue, Suite 150,
Organization City: Vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: maged.g.armanuse@dot.ca.gov
Organization Phone: (916) 284-6784
Data has not been verified.