STATE OF CALIFORNIA - CALIFORNIA STATE TRANSPORTATION AGENCY

Gavin Newsom, Governor

DEPARTMENT OF TRANSPORTATION

DIVISION OF ENGINEERING SERVICES

MATERIALS ENGINEERING AND TESTING SERVICES

Concrete Materials Testing Branch

5900 Folsom Blvd.

Sacramento, CA 95819

916-227-7205

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Contract # 100S1104 Cty SJ Rte 4 PM Var

Vendor #


REPORT OF LABORATORY TESTING

Resident Engineer:

Harminder Deol

Date Reported:

Address:

TL Number:

City:

Project Name: SR-4 FREEWAY EXTENSION

Prime Contractor: BROSAMER & WALL, INC.

Sample Taken Date:

08/20/2014

Mix Design:

V9525F

Contractor: Unknown

Location: IN SAN JOAQUIN COUNTY

Structure unique identifier:

Structure name:

Location of Pour:


No results found


Summary of Items Observed and Conversations:

Comments: This report is for the purpose of reporting test results.
Should you require recommendations concerning repairs or remedial efforts please contact the METS representative,
who represents the Materials Engineering and Testing Services for your project.

*Subject to final inspection by the Resident Engineer.




TL- Report of Laboratory Testing