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Sample Record for 2022-02-24-32

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

Project Information

Project ID: 214951 DEA: 120K0234 EFIS: 1214000100 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-17.1/18.9
Work Description: South County Improvement Project (Phase 3 - El Toro/Alicia) WIDEN FREEWAY AND BRIDGES, RECONSTRUCT BRIDGE AND WALLS.
Location Description: ORANGE COUNTY IN MISSION VIEJO, LAGUNA HILLS, LAGUNA WOODS AND LAKE FOREST FROM 0.4 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING TO 0.2 MILE NORTH OF EL TORO ROAD UNDERCROSSING
Contractor Name: GUY F. ATKINSON CONSTRUCTION, LLC
Contractor Address: 18201 Von Karman Ave #800, Irvine, CA 92612
Resident Engineer: Irvin Nguyen Structure Rep.: Jason Kim

Sample Information

DIME Sample ID: 2022-02-24-32
TL Number from the TL Form:
Sample Submitted By Organization: Atkinson Construction
Sample Organization Contact: (909) 367-8275
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 02/24/2022
Date that the sample was received by the laboratory/organization performing the testing: 02/25/2022
The quantity of what the sample constitutes: 65
A brief description of the sample: JPCP Field Qualification
From where was the sample collected: Job Site
Laboratory sample identification: W01-22-04040-C1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Twining

Material Information

The concrete mix design number: 3F5FL001
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 108157490
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: I-5 SB Alicia Parkway
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2022-02-24-32-1
Test Method: AASHTO T336-15: Standard Method of Test for Coefficient of Thermal Expansion of Hydraulic Cement Concrete
Verified Date: 08/24/2022
Date Tested: 03/31/2022
Submitted By Organization: Atkinson Construction
Organization Address: 18201 Von Karman Avenue, Suite 800,
Organization City: Irvine
Organization State: CA
Organization Zipcode: 92612
Organization Email: mark.torres@atkn.com
Organization Phone: (909) 367-8275
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Average CTE .00000884 mm/mm/°C
Average CTE 0.000004913 in/in/°F