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Sample Record for 2021-08-05-45

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

Project Information

Project ID: 214114 DEA: 040A5394 EFIS: 0418000244 QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80,12-11.4/12.8, 2.1/2.8
Work Description: Widen EB SR-12 Connector, Construct 3 ramps & 2 box girder bridges, remove existing bridge, etc.
Location Description: I-80/I-680/Route 12 Interchange
Contractor Name: Kiewit Infrastructure West Co.
Contractor Address: 4650 Business Center Drive, Fairfield, CA 94534
Resident Engineer: Cassaundra Lograsso Structure Rep.: Kambiz Kouchesfahani

Sample Information

DIME Sample ID: 2021-08-05-45
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: 08/05/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/05/2021
The quantity of what the sample constitutes: 100 CY
A brief description of the sample: Concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar

Material Information

The concrete mix design number: CT063AC5
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 88078049
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: In the Catch Basin behind the UPS Distribution center along eastbound HWY 80
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: 2021-08-05-45-1
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 03/31/2022
Date Tested: 08/05/2021
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 0 F

Test 2 of 4

DIME Test ID: 2021-08-05-45-2
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 03/31/2022
Date Tested: 08/05/2021
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 1.7 %

Test 3 of 4

DIME Test ID: 2021-08-05-45-3
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 03/31/2022
Date Tested: 08/05/2021
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:
Unit weight of the concrete 148.2 lb/ft^3
Cement content 0 lb/yd^3

Test 4 of 4

DIME Test ID: 2021-08-05-45-4
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 03/31/2022
Date Tested: 08/05/2021
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 3.5 inch

Tests Assigned to this Sample

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