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Sample Record for 2018-09-17-28

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

Project Information

Project ID: 209695 DEA: 08347704 EFIS: 0800000616 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-SR-58-0/12.9
Work Description: (Alternative Delivery) The CMGC project will upgrade SR 58 from 2- to 4-lanes in San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Location Description: SR-58 / 395 Kramer Junction project. In San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Contractor Name: KIEWIT INFRASTRUCTURE WEST CO.
Contractor Address: 2215 E 1ST STREET, VANCOUVER, WA 98661
Resident Engineer: Shaine Shahidi Structure Rep.: Osama Abdalla

Sample Information

DIME Sample ID: 2018-09-17-28
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/17/2018
Date that the sample was received by the laboratory/organization performing the testing: 10/15/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: Concrete beams
From where was the sample collected: Job Site
Laboratory sample identification: set 10
Structure unique identifier: station 671 75 WB
Structure name: station 671 75 WB
The fabricator/manufacturer/facility name: Kiewitt Plant

Material Information

The concrete mix design number: LB18-0029
The truck number from where the sample was collected: na
The batch plant ticket number from where the sample was collected: 113
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: station 671 75 WB
Where the material sample would have been placed if not sampled: Unknown
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Results

Test 1 of 2

DIME Test ID: 2018-09-17-28-1
Test Method: ASTM C293-10: Standard Test Method for Flexural Strength of Concrete (Using Simple Beam With Center-Point Loading)
Verified Date: 01/16/2019
Date Tested: 10/15/2018
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria St.,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Modulus of rupture 1025 psi

Test 2 of 2

DIME Test ID: 2018-09-17-28-2
Test Method: ASTM C293-10: Standard Test Method for Flexural Strength of Concrete (Using Simple Beam With Center-Point Loading)
Verified Date: 01/16/2019
Date Tested: 10/15/2018
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria St.,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Modulus of rupture 1040 psi