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Sample Record for 2015-06-23-8

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

Project Information

Project ID: 210032 DEA: 044A0904 EFIS: 0415000178 QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29,101-47.0/47.2
Work Description: BRIDGE REPLACEMENT.
Location Description: NAPA COUNTY ABOUT 6. MILES NORTH OF CALISTOGA AT TROUTDALE CREEK BRIDGE.
Contractor Name: GORDON N BALL INC
Contractor Address: 333 CAMILLE AVENUE, ALAMO CA 94507
Resident Engineer: Syd Valeh Structure Rep.: Jonathan Chi

Sample Information

DIME Sample ID: 2015-06-23-8
TL Number from the TL Form: 192461
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Informational
Type of Material: Concrete
Sample Taken Date: 06/23/2015
Date that the sample was received by the laboratory/organization performing the testing: 06/25/2015
The quantity of what the sample constitutes: 2 concrete cylinders
A brief description of the sample: Cylinders
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: KieCon

Material Information

The concrete mix design number: unk
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 111
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Source
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 1

DIME Test ID: 2015-06-23-8-1
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521
Submitted By Organization: CT HQ - QASI Bay Area Field Office
Organization Address: 690 Walnut Avenue, Suite 150,
Organization City: Vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: maged.g.armanuse@dot.ca.gov
Organization Phone: (916) 284-6784
Data has not been verified.