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

image

Contract # Cty Rte PM

Vendor #


REPORT OF LABORATORY TESTING

Resident Engineer:

Unknown

Date Reported:

Address:

TL Number:

87427

City:

Project Name: Crush test

Prime Contractor:

Sample Taken Date:

11/19/2014

Mix Design:

xxxxxxxxxxxxxxxxxxx

Contractor: Unknown

Location:

Structure unique identifier: Unknown

Structure name: CHP Academy

Location of Pour:


No result 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