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

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Contract # 04264724 Cty MRN Rte 101 PM R20.8/27.1

Vendor #


REPORT OF LABORATORY TESTING

Resident Engineer:

Fabio La Serna

Date Reported:

Address:

TL Number:

City:

Project Name: CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.

Prime Contractor: GHILOTTI CONSTRUCTION CO. INC. (RILEY GENAZZI & JOSH SERAFINO)

Sample Taken Date:

10/25/2022

Mix Design:

unknown

Contractor: Unknown

Location: MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE

Structure unique identifier:

Structure name:

Location of Pour:


The following testing has been tested in accordance with:


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