Sample Record for 2020-04-24-17
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 213410 DEA: 024C1504 EFIS: 0213000132
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-96-23.4/54.5
Work Description: APC, BOX CULVERTS, CONCRETE HEADWALLS, AND JACKED WELDED STEEL PIPE.
Location Description: SISKIYOU COUNTY AT AND NEAR HAPPY CAMP AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF SWILLUP CREEK BRIDGE TO 3.6 MILES EAST OF THOMPSON CREEK BRIDGE
Contractor Name: HAYES & SONS INC
Contractor Address: 60833 GORDONS FERRY ROAD, HAPPY CAMP, CA 96039
Resident Engineer: Jeff Steppat Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2020-04-24-17
TL Number from the TL Form: None
Sample Submitted By Organization: Rinker Materials
Sample Organization Contact: (916) 381-3910
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 04/24/2020
Date that the sample was received by the laboratory/organization performing the testing: 04/27/2020
The quantity of what the sample constitutes: 8
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Fabricator
Laboratory sample identification: 02-4C1504
Structure unique identifier: 47-SIS
Structure name: Happy Camp
The fabricator/manufacturer/facility name: Forterra Sacramento
Material Information
The concrete mix design number: 13 special
The truck number from where the sample was collected: NA
The batch plant ticket number from where the sample was collected: 23
Concrete batch plant: Besser
The fabricator/manufacturer designation for the sample: 4-24-20
A detailed description of where the material sample was collected: concrete sample from wheel barrow
Where the material sample would have been placed if not sampled: RCBC
From Lot No.: NA
Bag Lot No.: NA
Test Results
Test 1 of 1
DIME Test ID: 2020-04-24-17-1
Test Method: ASTM C1064-12: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Submitted By Organization: Rinker Materials
Organization Address: 7020 Tokay Avenue,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95828
Organization Email: Edgar.Benitez@Rinkerpipe.com
Organization Phone: (209) 401-6972
Data has not been verified.
