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Sample Record for 2020-10-12-54

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

Project Information

Project ID: 214601 DEA: 041J5694 EFIS: 0419000313 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-0.0/21.8
Work Description: Barrier modifications, overhead signs, freeway lighting and electronic toll system components
Location Description: SANTA CLARA AND SAN MATEO COUNTIES FROM 0.3 MILE NORTH OF SAN ANTONIO ROAD TO 0.3 MILE SOUTH OF GRAND AVENUE INTERCHANGE
Contractor Name: KIEWIT INFRASTRUCTURE COMPANY
Contractor Address: 1301 SHOREWAY RD, SUITE 275, BELMONT, CA 94402
Resident Engineer: Scott McCrank Structure Rep.: Pinell, Tyler

Sample Information

DIME Sample ID: 2020-10-12-54
TL Number from the TL Form:
Sample Submitted By Organization: Pro-Cast Products Inc.
Sample Organization Contact: (909) 793-7602
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 10/12/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/13/2020
The quantity of what the sample constitutes: 53
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Procast

Material Information

The concrete mix design number: RRM14062
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 5754516
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete from wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2020-10-12-54-1
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: Pro-Cast Products Inc.
Organization Address: 27417 E. Third St., PO Box 602,
Organization City: Highland
Organization State: CA
Organization Zipcode: 92346
Organization Email: chad@procast.us
Organization Phone: (909) 793-7602
Data has not been verified.

Test 2 of 2

DIME Test ID: 2020-10-12-54-2
Test Method: ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: Pro-Cast Products Inc.
Organization Address: 27417 E. Third St., PO Box 602,
Organization City: Highland
Organization State: CA
Organization Zipcode: 92346
Organization Email: chad@procast.us
Organization Phone: (909) 793-7602
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.