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Sample Record for 2021-02-03-37

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

Project Information

Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-8.2/8.7
Work Description: BRIDGE REPLACEMENT
Location Description: DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE
Contractor Name: Golden State Bridge, Inc
Contractor Address: 3701 Mallard Dr., Benicia, CA 94510
Resident Engineer: Clayton Malmberg Structure Rep.: Keene, Bryan

Sample Information

DIME Sample ID: 2021-02-03-37
TL Number from the TL Form:
Sample Submitted By Organization: Golden State Bridge, Inc
Sample Organization Contact: (415) 720-6577
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 02/03/2021
Date that the sample was received by the laboratory/organization performing the testing: 02/04/2021
The quantity of what the sample constitutes: 3 CY
A brief description of the sample: Structure Concrete
From where was the sample collected: Job Site
Laboratory sample identification: C7640A-D
Structure unique identifier:
Structure name: Panther Creek Temp Bridge
The fabricator/manufacturer/facility name: Tidewater Contractors

Material Information

The concrete mix design number: C2 NA Temp
The truck number from where the sample was collected: 109
The batch plant ticket number from where the sample was collected: 3267
Concrete batch plant: Tidewater Contractor
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of Truck
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: 2021-02-03-37-1
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 03/15/2021
Date Tested: 03/03/2021
Submitted By Organization: Golden State Bridge, Inc
Organization Address: 3701 Mallard Drive ,
Organization City: Benicia
Organization State: CA
Organization Zipcode: 94510
Organization Email: paul@gsbridge.com
Organization Phone: (415) 720-6577
General Comments for this Test:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Average diameter of cylinder 1 6.00 in
Capped in accordance with? ASTM C617/CTM521
Compressive strength of cylinder (to nearest 10 psi) 6940 psi
Maximum load on cylinder 1 200700 lb
Type of fracture pattern of cylinder 1 1
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 27 days
Age of specimen in hours 0 hours

Tests Assigned to this Sample

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