Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214892 DEA: 06442554 EFIS: 0612000176 COOP: 061699
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-46-29.7/31.9
Work Description: CONVERT 2-LANE TO 4-LANE HMA PAVEMENT AND CONSTRUCT NEW BRIDGE.
Location Description: KERN COUNTY AT AND NEAR LOST HILLS FROM 0.2 MILE WEST OF CALIFORNIA AQUEDUCT BRIDGE TO 1.4 MILES EAST OF LOST HILLS ROAD
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 3005 James Road, Bakersfield, CA 93308
Resident Engineer: Trever Shiplee Structure Rep.: Gabriel Macias
DIME Sample ID: 2022-07-27-73
TL Number from the TL Form:
Sample Submitted By Organization: Sequoia Consultants
Sample Organization Contact: (714) 974-6316
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 07/27/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/27/2022
The quantity of what the sample constitutes: 2 cylinders
A brief description of the sample: Concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: George L Throop Pasadena
The concrete mix design number: K6080-603 Cpa
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 3
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: PSPC Wide Flange Girder
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2022-07-27-73-1
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/21/2022
Date Tested: 09/07/2022
Submitted By Organization: Sequoia Consultants
Organization Address: 361 West Grove Avenue,
Organization City: Orange
Organization State: CA
Organization Zipcode: 92865
Organization Email: sranjan@sequoiacon.com
Organization Phone: 1 (714) 974-6316
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Number of specimens
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2
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Average Compressive Strength (to nearest 10)
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7730 lb/in^2
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Cylinder Age
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42 days
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Break Description of Cylinder 1 (if not 'cone')
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columnar
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Break Description of Cylinder 2 (if not 'cone')
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columnar
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