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Sample Record for 2013-10-28-9806

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

Project Information

Project ID: 7545 DEA: 044A0104 EFIS: 0400001101 QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-30.6/38.7
Work Description: REPLACE EXIST CONC PVMT, HMA SURFACING AND UPGRADE MBGR.
Location Description: SOLANO COUNTY IN VACAVILLE AND DIXON FROM 0.6 MILE EAST OF LEISURE TOWN ROAD OVERCROSSING TO 1.0 MILE WEST OF PEDRICK ROAD OVERCROSSING.
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 24207 County Road 100A , DAVIS, CA 95617-1890
Resident Engineer: Jamie Speer Structure Rep.: Chau Ha

Sample Information

DIME Sample ID: 2013-10-28-9806
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Verification
Type of Material: Concrete
Sample Taken Date: 10/28/2013
Date that the sample was received by the laboratory/organization performing the testing: 10/29/2013
The quantity of what the sample constitutes: 2 concrete cylinders
A brief description of the sample: 4 x 8 concrete cylinders
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ConFab

Material Information

The concrete mix design number: V80-25F
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: Unknown
Concrete batch plant:
The fabricator/manufacturer designation for the sample: ConFab
A detailed description of where the material sample was collected: By formwork at precast plant
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 1

DIME Test ID: 2013-10-28-9806-1
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521
Submitted By Organization: CT HQ - QASI Bay Area Field Office
Organization Address: 690 Walnut Avenue, Suite 150,
Organization City: Vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: maged.g.armanuse@dot.ca.gov
Organization Phone: (916) 284-6784
Data has not been verified.