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Sample Record for 2019-02-12-3

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

Project Information

Project ID: 213822 DEA: 010J4404 EFIS: 0119000039 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-200,299-R2.66
Work Description: REPAIR STRUCTURE - BRIDGE DECK GIRDER REPAIR
Location Description:
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Brian Winter Structure Rep.: Mike McCracken

Sample Information

DIME Sample ID: 2019-02-12-3
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 02/12/2019
Date that the sample was received by the laboratory/organization performing the testing: 02/15/2019
The quantity of what the sample constitutes: Unknown
A brief description of the sample: 10 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: C0001
Structure unique identifier: Unknown
Structure name: Unknown
The fabricator/manufacturer/facility name: Eureka Ready Mix

Material Information

The concrete mix design number: ER70DH
The truck number from where the sample was collected: Unknown
The batch plant ticket number from where the sample was collected: Unknown
Concrete batch plant: Eureka Ready Mix Concrete Company
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: Mix Truck Chute
Where the material sample would have been placed if not sampled: Unknown
From Lot No.: Unknown
Bag Lot No.: Unknown
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2019-02-12-3-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 02/25/2019
Date Tested: 02/19/2019
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Cross sectional area of cylinder 1 28.3 in^2
Cross sectional area of cylinder 2 28.3 in^2
Compressive strength (to nearest 10 psi) 3410 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 7 days