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Sample Record for 2021-06-25-9

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

Project Information

Project ID: 214841 DEA: 034H1004 EFIS: 0318000176 QA Service Level: 1
DIST-CO-RTE-PM: 03-SIE-49-9.2/24.7
Work Description: INSTALL RETAINING STRUCTURE AND RSP CONCRETE EMBANKMENT.
Location Description: SIERRA COUNTY ON ROUTE 49 AT VARIOUS LOCATIONS
Contractor Name: GORDON N BALL INC
Contractor Address: 333 CAMILLE AVENUE, ALAMO CA 94507
Resident Engineer: Christopher Fallbeck Structure Rep.: Jimmer Ross

Sample Information

DIME Sample ID: 2021-06-25-9
TL Number from the TL Form:
Sample Submitted By Organization: RMA Group - Rancho Cordova
Sample Organization Contact: 916-631-7194
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 06/25/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/26/2021
The quantity of what the sample constitutes: 100 CY
A brief description of the sample: Portland Cement Concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hansen Bros Enterprises

Material Information

The concrete mix design number: 8025P-WDNA
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 05-195955
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: ABUTMENT 10 - PILE 3
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 4

DIME Test ID: 2021-06-25-9-1
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 07/04/2021
Date Tested: 06/25/2021
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: 916-631-7194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 6 inch

Test 2 of 4

DIME Test ID: 2021-06-25-9-2
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 07/04/2021
Date Tested: 06/25/2021
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: 916-631-7194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 74 F

Test 3 of 4

DIME Test ID: 2021-06-25-9-3
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 07/04/2021
Date Tested: 06/25/2021
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: 916-631-7194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air Content 2.4 %

Test 4 of 4

DIME Test ID: 2021-06-25-9-4
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: 916-631-7194
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.