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Sample Record for 2013-07-09-10358721

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

Project Information

Project ID: 8127 DEA: 080N5904 EFIS: 0800000533 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R85.2
Work Description: CONSTRUCT PC/PS BULB-TEE GIRDER BRIDGE
Location Description: SAN BERNARDINO COUNTY NEAR ESSEX AT VAN WINKLE WASH BRIDGE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: P.O. Box 50085, Watsonville, CA 95077
Resident Engineer: Khoa Nguyen Structure Rep.: Chuang, Ching

Sample Information

DIME Sample ID: 2013-07-09-10358721
TL Number from the TL Form:
Sample Submitted By Organization: SCST, LLC.
Sample Organization Contact: (619) 280-4321
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 07/09/2013
Date that the sample was received by the laboratory/organization performing the testing: 07/10/2013
The quantity of what the sample constitutes: 4 concrete cylinders
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier: Abutment no. 4
Structure name: Abutment no. 4
The fabricator/manufacturer/facility name: Hi Grade

Material Information

The concrete mix design number: HG53401R
The truck number from where the sample was collected: 187
The batch plant ticket number from where the sample was collected: 810530
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Abutment no. 4 - Second Load Placed for Structure in 1st Lift Middle Location
Where the material sample would have been placed if not sampled: Abutment no. 4
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 5

DIME Test ID: 2013-07-09-10358721-1
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 07/17/2013
Date Tested: 07/09/2013
Submitted By Organization: SCST, LLC.
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 280-4321
General Comments for this Test:
Additional Comments When Verified:
Air Content 1.5 %

Test 2 of 5

DIME Test ID: 2013-07-09-10358721-2
Test Method: CTM 556-June 2010: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 07/17/2013
Date Tested: 07/09/2013
Submitted By Organization: SCST, LLC.
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 280-4321
General Comments for this Test:
Additional Comments When Verified:
Slump 3.8 in

Test 3 of 5

DIME Test ID: 2013-07-09-10358721-3
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/17/2013
Date Tested: 07/12/2013
Submitted By Organization: SCST, LLC.
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 280-4321
General Comments for this Test:
Additional Comments When Verified:
Number of specimens no data
Cylinder Age 3 days
Break Description of Cylinder 1 (if not 'cone') no data

Test 4 of 5

DIME Test ID: 2013-07-09-10358721-4
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/17/2013
Date Tested: 07/16/2013
Submitted By Organization: SCST, LLC.
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 280-4321
General Comments for this Test:
Additional Comments When Verified:
Number of specimens no data
Cylinder Age 7 days
Break Description of Cylinder 1 (if not 'cone') no data

Test 5 of 5

DIME Test ID: 2013-07-09-10358721-5
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521
Verified Date: 08/07/2013
Date Tested: 08/06/2013
Submitted By Organization: SCST, LLC.
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 280-4321
General Comments for this Test:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed no data
Comment on any defect in either specimen or caps (Max 250 Characters) no data

Tests Assigned to this Sample

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