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Sample Record for 2023-01-12-14

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

Project Information

Project ID: 993124 DEA: 101F1704 EFIS: 1016000032 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-26,99-1.1,19.3
Work Description: REMOVE AND REPLACE BRIDGE.
Location Description: SAN JOAQUIN COUNTY NEAR STOCKTON AT ROUTE 26/99 SEPARATION
Contractor Name: Andrew M Jordan Inc, DBA A & B Construction
Contractor Address: 1350 4th Street, Berkeley, CA 94710
Resident Engineer: Troy Scheiber Structure Rep.: Chuck Pazzi

Sample Information

DIME Sample ID: 2023-01-12-14
TL Number from the TL Form:
Sample Submitted By Organization: RMA Group - Rancho Cordova
Sample Organization Contact: (916) 631-7194
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 01/12/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/12/2023
The quantity of what the sample constitutes: 100 cy
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: Cemex

Material Information

The concrete mix design number: 161736
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 30593351
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: south west section of bridge
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2023-01-12-14-1
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 01/16/2023
Date Tested: 01/12/2023
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: (916) 631-7194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 60 F

Test 2 of 4

DIME Test ID: 2023-01-12-14-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 01/16/2023
Date Tested: 01/12/2023
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: (916) 631-7194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 8 inch

Test 3 of 4

DIME Test ID: 2023-01-12-14-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 01/18/2023
Date Tested: 01/18/2023
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: (916) 631-7194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 6.00 in
Compressive strength of cylinder (to nearest 10 psi) 5730 psi
Maximum load on cylinder 1 161940 lb
Type of fracture pattern of cylinder 1 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 6 days
Age of specimen in hours 0 hours

Test 4 of 4

DIME Test ID: 2023-01-12-14-4
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 02/11/2023
Date Tested: 02/09/2023
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: (916) 631-7194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 6.00 in
Compressive strength of cylinder (to nearest 10 psi) 7010 psi
Maximum load on cylinder 1 198190 lb
Type of fracture pattern of cylinder 1 3
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 28 days
Age of specimen in hours 0 hours