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Sample Record for 2020-06-29-36

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

Project Information

Project ID: 214292 DEA: 060Q9004 EFIS: 0614000047 QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-180-92.2,130.1
Work Description: REPLACE BRIDGE RAILS.
Location Description: FRESNO COUNTY NEAR SQUAW VALLEY AT MILL CREEK BRIDGE AND NEAR BOYDEN CAVE AT SOUTH FORK KINGS RIVER BRIDGE
Contractor Name: BUGLER CONSTRUCTION
Contractor Address: 4847 Hopyard Rd., Suite 4 #395, Pleasanton, CA 94588
Resident Engineer: Donald Hiura Structure Rep.: Nathan Quiroz

Sample Information

DIME Sample ID: 2020-06-29-36
TL Number from the TL Form:
Sample Submitted By Organization: Trinity Engineering Laboratories, Incorporated - Fresno
Sample Organization Contact: (559) 292-2188
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 06/29/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/30/2020
The quantity of what the sample constitutes: four cylinders
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Outback Materials

Material Information

The concrete mix design number: 72T1G10
The truck number from where the sample was collected: 98
The batch plant ticket number from where the sample was collected: 80499
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: Unknown
Where the material sample would have been placed if not sampled: Unknown
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Results

Test 1 of 4

DIME Test ID: 2020-06-29-36-1
Test Method: ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: Trinity Engineering Laboratories, Incorporated - Fresno
Organization Address: 2473 North Sunnyside Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93727
Organization Email: mhorn@trinityeng.co
Organization Phone: (559) 260-6841
Data has not been verified.

Test 2 of 4

DIME Test ID: 2020-06-29-36-2
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Submitted By Organization: Trinity Engineering Laboratories, Incorporated - Fresno
Organization Address: 2473 North Sunnyside Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93727
Organization Email: mhorn@trinityeng.co
Organization Phone: (559) 260-6841
Data has not been verified.

Test 3 of 4

DIME Test ID: 2020-06-29-36-3
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Submitted By Organization: Trinity Engineering Laboratories, Incorporated - Fresno
Organization Address: 2473 North Sunnyside Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93727
Organization Email: mhorn@trinityeng.co
Organization Phone: (559) 260-6841
Data has not been verified.

Test 4 of 4

DIME Test ID: 2020-06-29-36-4
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Submitted By Organization: Trinity Engineering Laboratories, Incorporated - Fresno
Organization Address: 2473 North Sunnyside Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93727
Organization Email: mhorn@trinityeng.co
Organization Phone: (559) 260-6841
Data has not been verified.