STATE OF CALIFORNIA - CALIFORNIA STATE TRANSPORTATION AGENCY

Gavin Newsom, Governor


DEPARTMENT OF TRANSPORTATION

DIVISION OF ENGINEERING SERVICES

MATERIALS ENGINEERING AND TESTING SERVICES

Concrete Materials Testing Branch

5900 Folsom Blvd.

Sacramento, CA 95819

916-227-7205

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Contract # STOCK Cty Rte PM

Vendor #


REPORT OF LABORATORY TESTING

Resident Engineer:

Unknown

Date Reported:

Address:

TL Number:

CCRL

City:

Project Name: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.

Prime Contractor:

Sample Taken Date:

07/13/2020

Mix Design:

CCRL 196

Contractor: Unknown

Location:

Structure unique identifier:

Structure name:

Location of Pour:


The following testing has been tested in accordance with:


Summary of Items Observed and Conversations:

Comments: This report is for the purpose of reporting test results.
Should you require recommendations concerning repairs or remedial efforts please contact the METS representative,
who represents the Materials Engineering and Testing Services for your project.

*Subject to final inspection by the Resident Engineer.




TL- Report of Laboratory Testing