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Sample Record for 2018-09-20-8

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: 2018-09-20-8
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: 09/20/2018
Date that the sample was received by the laboratory/organization performing the testing: 10/18/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: casting concrete beams
From where was the sample collected: Job Site
Laboratory sample identification: set 16
Structure unique identifier: sta 625 98 wb
Structure name: sta 625 98 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: 16
The batch plant ticket number from where the sample was collected: na
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: KIEWITT
A detailed description of where the material sample was collected: sta 625 98 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: 2018-09-20-8-1
Test Method: ASTM C293-10: Standard Test Method for Flexural Strength of Concrete (Using Simple Beam With Center-Point Loading)
Verified Date: 01/25/2019
Date Tested: 10/18/2018
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 1800 Dill Road,
Organization City: Barstow
Organization State: CA
Organization Zipcode: 92311
Organization Email: michael.yuen@dot.ca.gov
Organization Phone: (760) 252-9216
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Modulus of rupture 1060 psi

Test 2 of 2

DIME Test ID: 2018-09-20-8-2
Test Method: ASTM C293-10: Standard Test Method for Flexural Strength of Concrete (Using Simple Beam With Center-Point Loading)
Verified Date: 01/25/2019
Date Tested: 10/18/2018
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 1800 Dill Road,
Organization City: Barstow
Organization State: CA
Organization Zipcode: 92311
Organization Email: michael.yuen@dot.ca.gov
Organization Phone: (760) 252-9216
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Modulus of rupture 1100 psi

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.