Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 10016 DEA: 06342524 EFIS: 0600000381
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-180-R71.8/74.5
Work Description: NEW EXPRESS HIGHWAY
Location Description: FRESNO COUNTY ABOUT 6.3 MILES EAST OF FRESNO FROM 0.6 MILE WEST OF QUALITY AVENUE TO 0.2 MILE WEST OF SMITH AVENUE
Contractor Name: American Paving Co
Contractor Address: 315 North Thorne Avenue, Fresno, CA 93706
Resident Engineer: Mark Mengoni Structure Rep.: Mike Bloom
DIME Sample ID: 2013-11-12-10008758
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Fresno Field Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Verification
Type of Material: Concrete
Sample Taken Date: 11/12/2013
Date that the sample was received by the laboratory/organization performing the testing: 11/15/2013
The quantity of what the sample constitutes: 6 - 6x12 cylinders
A brief description of the sample: 7.18sk 1in max structural concrete
From where was the sample collected: Other
Laboratory sample identification: TL No. C786177 - CL132320 CL132321 CL13322
Structure unique identifier: Br. No. 42C-0660
Structure name: Fowler Switch Canal Bridge (Frontage)
The fabricator/manufacturer/facility name: Field
The concrete mix design number: ND22023
The truck number from where the sample was collected: 9360
The batch plant ticket number from where the sample was collected: 111106757
Concrete batch plant: 111
The fabricator/manufacturer designation for the sample: Builders Concrete Ready Mix Plant Sanger
A detailed description of where the material sample was collected: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled: Abutment No. 1
From Lot No.:
Bag Lot No.:
DIME Test ID: 2013-11-12-10008758-1
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 D06 - Fresno Field Laboratory
Organization Address: ,
Organization City:
Organization State:
Organization Zipcode:
Organization Email: doug.lambert@dot.ca.gov
Organization Phone:
Data has not been verified.
DIME Test ID: 2013-11-12-10008758-2
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 D06 - Fresno Field Laboratory
Organization Address: ,
Organization City:
Organization State:
Organization Zipcode:
Organization Email: doug.lambert@dot.ca.gov
Organization Phone:
Data has not been verified.
DIME Test ID: 2013-11-12-10008758-3
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 D06 - Fresno Field Laboratory
Organization Address: ,
Organization City:
Organization State:
Organization Zipcode:
Organization Email: doug.lambert@dot.ca.gov
Organization Phone:
Data has not been verified.
