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Sample Record for 2021-11-10-62

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Project Information

Project ID: 214562 DEA: 040J7104 EFIS: 0414000029 QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-1.8/4.4
Work Description: RAISE BRIDGE AND PLACE STRUCTURAL CONCRETE.
Location Description: SOLANO COUNTY IN VALLEJO AT VARIOUS LOCATIONS
Contractor Name: BROSAMER & WALL, INC.
Contractor Address: 1777 Oakland Blvd., Suite 300, Walnut Creek, CA 94596
Resident Engineer: Quang Tran Structure Rep.: Mohan Ayadurai

Sample Information

DIME Sample ID: 2021-11-10-62
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: 11/10/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/10/2021
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 Vallejo

Material Information

The concrete mix design number: CT0072AC5
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 82838234
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Approach slab
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2021-11-10-62-1
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 04/07/2022
Date Tested: 11/10/2021
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 71 F

Test 2 of 3

DIME Test ID: 2021-11-10-62-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 04/07/2022
Date Tested: 11/10/2021
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 5 inch

Test 3 of 3

DIME Test ID: 2021-11-10-62-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 04/07/2022
Date Tested: 12/08/2021
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 system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 6.01 in
Average diameter of cylinder 2 6.00 in
Cross sectional area of cylinder 1 28.37 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 5970 psi
Maximum load on cylinder 1 166710 lb
Maximum load on cylinder 2 171200 lb
Type of fracture pattern of cylinder 1 3
Type of fracture pattern of cylinder 2 6
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 28 days
Age of specimen in hours 0 hours