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Sample Record for 2021-07-08-60

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

Project Information

Project ID: 215445 DEA: 100X7504 EFIS: 1013000009 QA Service Level: 1
DIST-CO-RTE-PM: 10-ALP-4,88,89-var
Work Description: REPLACE BRIDGE RAIL, BARRIER SLAB AND GUARDRAIL.
Location Description: ALPINE COUNTY AT VARIOUS LOCATIONS
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.
Contractor Address: 3333 Vaca Valley Parkway, Suite 2000, Vacaville, CA 95688
Resident Engineer: Pawan Garg Structure Rep.: John Cooley

Sample Information

DIME Sample ID: 2021-07-08-60
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: 07/08/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/08/2021
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: Sierra Tahoe Ready Mix

Material Information

The concrete mix design number: ST38D
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 82245
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Trail batch at Sierra Tahoe Ready Mix
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2021-07-08-60-1
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 04/13/2022
Date Tested: 07/09/2021
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 87 F

Test 2 of 2

DIME Test ID: 2021-07-08-60-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 04/13/2022
Date Tested: 07/09/2021
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 9 inch