STATE OF CALIFORNIA - CALIFORNIA STATE TRANSPORTATION AGENCY

Gavin Newsom, Governor


DEPARTMENT OF TRANSPORTATION

DIVISION OF ENGINEERING SERVICES

MATERIALS ENGINEERING AND TESTING SERVICES

Concrete Materials Testing Branch

5900 Folsom Blvd.

Sacramento, CA 95819

916-227-7205

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Contract # 04235654 Cty SM Rte 101 PM 1.3/2.5,5.0/5.3

Vendor #


REPORT OF LABORATORY TESTING

Resident Engineer:

Fernando Abela

Date Reported:

Address:

TL Number:

500041

City:

Project Name: RECONSTRUCT INTERCHANGE

Prime Contractor: Disney/OC Jones Construction Company Inc.

Sample Taken Date:

12/10/2018

Mix Design:

1412885

Contractor: Unknown

Location: SAN MATEO COUNTY AT VARIOUS LOCATIONS ON ROUTE 101 FROM 0.4 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.6 MILE SOUTH OF HENDERSON UNDERPASS AND ON ROUTE 114 FROM WILLOW ROAD SEPARATION TO NEWBRIDGE STREET

Structure unique identifier: Unknown

Structure name: Unknown

Location of Pour: Unknown


The following testing has been tested in accordance with:


Summary of Items Observed and Conversations:

Comments: This report is for the purpose of reporting test results.
Should you require recommendations concerning repairs or remedial efforts please contact the METS representative,
who represents the Materials Engineering and Testing Services for your project.

*Subject to final inspection by the Resident Engineer.




TL- Report of Laboratory Testing