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Sample Record for 2013-12-17-4422

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

Project Information

Project ID: 208572 DEA: 100L3304 EFIS: 1000000100 COOP: 10355 Permit Numbers: 1012NMC0508 QA Service Level: 1
DIST-CO-RTE-PM: 10-STA-99-0.0/0.3
Work Description: Reconsteuct SR99/Kiernan Interchange
Location Description: City of Salida, in STA County
Contractor Name: O.C. Jones & Sons, Inc.
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Steve Sakata Structure Rep.: Kelvin Low

Sample Information

DIME Sample ID: 2013-12-17-4422
TL Number from the TL Form:
Sample Submitted By Organization: Caltrans Vallejo Field Laboratory
Sample Organization Contact: (510) 774-6009
Type of Sample: Verification
Type of Material: Concrete
Sample Taken Date: 12/17/2013
Date that the sample was received by the laboratory/organization performing the testing: 12/18/2013
The quantity of what the sample constitutes: 2 concrete cylinders
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name: PCPS Wide Flange Girder No. G2
The fabricator/manufacturer/facility name: KieCon

Material Information

The concrete mix design number: K6090-621SCC
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:
A detailed description of where the material sample was collected: By formwork at precast plant during QC pour inspection
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: 2013-12-17-4422-1
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: Caltrans Vallejo Field Laboratory
Organization Address: 690 Walnut Ave,Suite 150
Organization City: Vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email:
Organization Phone: (510) 774-6009
Data has not been verified.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.