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Sample Record for 2013-08-16-11055123

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

Project Information

Project ID: 7780 DEA: 112T1824 EFIS: 1100020051 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-4.7/5.6
Work Description: REPLACE STRUCTURE AND CONSTRUCT DIRECT ACCESS RAMP (DAR).
Location Description: SAN DIEGO COUNTY IN CHULA VISTA FROM 0.4 MILE SOUTH OF EAST PALOMAR STREET OVERCROSSING TO 0.1 MILE NORTH OF NAPLES STREET UNDERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 5860 El Camino Real #200, Carlsbad, CA 92008
Resident Engineer: Tom Davis Structure Rep.: Anh Ma

Sample Information

DIME Sample ID: 2013-08-16-11055123
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3668 - Mira Mesa
Sample Organization Contact: (858) 688-1414
Type of Sample: Verification
Type of Material: Concrete
Sample Taken Date: 08/16/2013
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: One Wheel Barrel
A brief description of the sample: Concrete Test Samples
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier: RW 316R-Stem
Structure name: RW 316R
The fabricator/manufacturer/facility name: Vulcan

Material Information

The concrete mix design number: 103612F
The truck number from where the sample was collected: 309
The batch plant ticket number from where the sample was collected: Load3
Concrete batch plant:
The fabricator/manufacturer designation for the sample: Vulcan Materials Company
A detailed description of where the material sample was collected: Jobsite
Where the material sample would have been placed if not sampled: RW 316R-Stem
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 1

DIME Test ID: 2013-08-16-11055123-14
Test Method: ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: CT SC - 3668 - Mira Mesa
Organization Address: 3089 Manchester Avenue,
Organization City: Cardiff
Organization State: CA
Organization Zipcode: 92007
Organization Email: phong.t.le@dot.ca.gov
Organization Phone: (858) 688-1603
Data has not been verified.