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 # 02378904 Cty SHA Rte 5 PM R63.2/R65.8

Vendor #


REPORT OF LABORATORY TESTING

Resident Engineer:

Time Bade

Date Reported:

Address:

TL Number:

95657

City:

Project Name: BRIDGE REPLACEMENT

Prime Contractor: TUTOR-SALIBA CORPORATION

Sample Taken Date:

05/04/2015

Mix Design:

0000000000000000

Contractor: Unknown

Location: IN SHASTA COUNTYNEAR LAKEHEAD FROM 0.3 KM NORTH OF ANTLER SUMMIT OVERCROSSING TO 0.5 KM NORTH OFANTLER UNDERPASS

Structure unique identifier: Unknown

Structure name: Unknown

Location of Pour: Unknown


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