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Sample Record for 2021-06-21-21

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

Project Information

Project ID: 215487 DEA: 042Q0804 EFIS: 0418000416 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-1,101,280-17.9/47.03
Location Description:
Contractor Address: 3701 Mallard Dr., Benicia, CA 94510
Resident Engineer: Roberto Borja Structure Rep.: Bryan Nagid

Sample Information

DIME Sample ID: 2021-06-21-21
TL Number from the TL Form: C668879
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 227-7283
Type of Sample: Authorization
Type of Material: Rapid Set
Sample Taken Date: 06/21/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/25/2021
The quantity of what the sample constitutes: 1 Bag
A brief description of the sample: Rapid Set
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier: 35-0030, 35-0094L, 35-0130, 35-0155
Structure name: Various Bridges
The fabricator/manufacturer/facility name: GST International

Material Information

Manufacturer: GST International
Mix no.: 3523
Materials Received: Elephant Armor
Lot no.: 092320
Batch no.: 092320

Test Results

Test 1 of 1

DIME Test ID: 2021-06-21-21-1
Test Method: CONCLP 2-16: Rapid Set Patching Materials
Verified Date: 06/30/2021
Date Tested: 06/30/2021
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email:
Organization Phone: (916) 227-7283
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Compressive Strength @ 3 hrs (CTM 551) 4104
Compressive Strength @ 24 hrs (CTM 551) 5062
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) 17
Drying Shrinkage @ 4 days (CTM 596) 0
Soluble Chlorides (CTM 422) 0
Water Soluble-Sulfates (CTM 417) 0
Material Weight 50
Water Weight 12.5

Tests Assigned to this Sample

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