Sample Record for 2021-06-29-40
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214492 DEA: 033F5404 EFIS: 0313000136
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99,160-4.5/5.7,R44.5
Work Description: FURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location Description: SACRAMENTO COUNTY NEAR GALT ON ROUTE 99 FROM NORTH OF MINGO ROAD TO SOUTH OF ARNO ROAD OVERCROSSING AND IN SACRAMENTO ON ROUTE 160 AT AMERICAN RIVER BRIDGE
Contractor Name: BROSAMER & WALL, INC.
Contractor Address: 5000 Marsh Drive, Suite 300, Conord, CA 94520
Resident Engineer: Mohssen Ghassemi Structure Rep.: Chris Quon
Sample Information
DIME Sample ID: 2021-06-29-40
TL Number from the TL Form:
Sample Submitted By Organization: Trinity Engineering Laboratories, Incorporated - Fresno
Sample Organization Contact: (559) 292-2188
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 06/29/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/30/2021
The quantity of what the sample constitutes: 4 cylinders
A brief description of the sample: 1616182
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CEMEX Lodi
Material Information
The concrete mix design number: 1616182
The truck number from where the sample was collected: 4
The batch plant ticket number from where the sample was collected: 29720053
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Truck
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: 2021-06-29-40-1
Test Method: ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: Trinity Engineering Laboratories, Incorporated - Fresno
Organization Address: 2473 North Sunnyside Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93727
Organization Email: mhorn@trinityeng.co
Organization Phone: (559) 260-6841
Data has not been verified.
Test 2 of 4
DIME Test ID: 2021-06-29-40-2
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Submitted By Organization: Trinity Engineering Laboratories, Incorporated - Fresno
Organization Address: 2473 North Sunnyside Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93727
Organization Email: mhorn@trinityeng.co
Organization Phone: (559) 260-6841
Data has not been verified.
Test 3 of 4
DIME Test ID: 2021-06-29-40-3
Test Method: CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement Concrete
Submitted By Organization: Trinity Engineering Laboratories, Incorporated - Fresno
Organization Address: 2473 North Sunnyside Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93727
Organization Email: mhorn@trinityeng.co
Organization Phone: (559) 260-6841
Data has not been verified.
Test 4 of 4
DIME Test ID: 2021-06-29-40-4
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/17/2021
Date Tested: 07/27/2021
Submitted By Organization: Trinity Engineering Laboratories, Incorporated - Fresno
Organization Address: 2473 North Sunnyside Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93727
Organization Email: mhorn@trinityeng.co
Organization Phone: (559) 260-6841
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of specimens
|
2
|
Average Compressive Strength (to nearest 10)
|
4800 lb/in^2
|
Cylinder Age
|
28 days
|
Break Description of Cylinder 1 (if not 'cone')
|
3
|
Break Description of Cylinder 2 (if not 'cone')
|
3
|