Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213903 DEA: 043G4544 EFIS: 0412000054
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA,SM-92-R14.4/R18.8,R0.0/R.2.4
Work Description: Repair Spalled Concrete Columns and Spandrel Beams
Location Description: San Mateo-Hayward Bridge
Contractor Name: Golden State Bridge, Inc
Contractor Address: 3701 Mallard Dr., Benicia, CA 94510
Resident Engineer: Kingston Atako Structure Rep.: Lisa Chang-Bridges
DIME Sample ID: 2021-03-05-26
TL Number from the TL Form: C902229
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 594-1991
Type of Sample: Quality Assurance
Type of Material: Rapid Set
Sample Taken Date: 03/05/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/08/2021
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: Rapid Setting Concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sika Corporation
DIME Test ID: 2021-03-05-26-1
Test Method: CONCLP 2-16: Rapid Set Patching Materials
Verified Date: 04/20/2021
Date Tested: 04/20/2021
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: spencer.adams@dot.ca.gov
Organization Phone: (916) 227-5716
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Compressive Strength @ 3 hrs (CTM 551)
|
0
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Compressive Strength @ 24 hrs (CTM 551)
|
0
|
Flexure Strength @ 24 hrs (CTM 551)
|
0
|
Bond Strength @ 24 hrs - SSD (CTM 551)
|
0
|
Bond Strength @ 24 hrs - Dry (CTM 551)
|
0
|
Water Absorption (CTM 551)
|
0
|
Abrasion @ 24 hrs (CTM 550)
|
0
|
Drying Shrinkage @ 4 days (CTM 596)
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0
|
Soluble Chlorides (CTM 422)
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0
|
Water Soluble-Sulfates (CTM 417)
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0
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Material Weight
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50
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Water Weight
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7.302
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