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Sample Record for 2022-11-17-95

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Project Information

Project ID: 214469 DEA: 030H08U4 EFIS: 0319000029 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-50-L0.2/R6.1
Work Description: Sac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC
Location Description: FROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE
Contractor Name: FLATIRON WEST INC
Contractor Address: 2100 Goodyear Rd., Benicia, CA 94510
Resident Engineer: Jim Rogers Structure Rep.: Daniel Eggers

Sample Information

DIME Sample ID: 2022-11-17-95
TL Number from the TL Form:
Sample Submitted By Organization: Blackburn Consulting
Sample Organization Contact: (916) 375-8706
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 11/17/2022
Date that the sample was received by the laboratory/organization performing the testing: 11/18/2022
The quantity of what the sample constitutes: 8.5 yards
A brief description of the sample: CRCP Flexural Beam
From where was the sample collected: Supplier
Laboratory sample identification: 656
Structure unique identifier:
Structure name: CRCP US50
The fabricator/manufacturer/facility name: Elite - Granite Bradshaw

Material Information

The concrete mix design number: CT600
The truck number from where the sample was collected: 147
The batch plant ticket number from where the sample was collected: 788
Concrete batch plant: Elite Ready Mix Bradshaw
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Sampled from chute of ready mix truck
Where the material sample would have been placed if not sampled: CRCP
From Lot No.:
Bag Lot No.:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2022-11-17-95-1
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 02/08/2023
Date Tested: 11/17/2022
Submitted By Organization: Blackburn Consulting
Organization Address: 2491 Boatman Avenue,
Organization City: West Sacrametno
Organization State: CA
Organization Zipcode: 95691
Organization Email: brycem@blackburnconsulting.com
Organization Phone: (916) 375-8706
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 2.5 inch

Test 2 of 4

DIME Test ID: 2022-11-17-95-2
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 02/08/2023
Date Tested: 11/17/2022
Submitted By Organization: Blackburn Consulting
Organization Address: 2491 Boatman Avenue,
Organization City: West Sacrametno
Organization State: CA
Organization Zipcode: 95691
Organization Email: brycem@blackburnconsulting.com
Organization Phone: (916) 375-8706
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 60 F

Test 3 of 4

DIME Test ID: 2022-11-17-95-3
Test Method: ASTM C78-18: Standard Test Method for Flexural Strength of Concrete (Using Simple Beam with Third-Point Loading)
Verified Date: 02/08/2023
Date Tested: 12/15/2022
Submitted By Organization: Blackburn Consulting
Organization Address: 2491 Boatman Avenue,
Organization City: West Sacrametno
Organization State: CA
Organization Zipcode: 95691
Organization Email: brycem@blackburnconsulting.com
Organization Phone: (916) 375-8706
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of specimens 3
Unit system used? US Units
Does the testing machine measure load or stress on the beam specimen? Load
Fracture initiates in the tension surface Within the Middle Third of the Span Length
Is a beam dimensional correction factor used? No
Modulus of rupture 730 psi
Modulus of rupture 2 710 psi
Modulus of rupture 3 730 psi
Modulus of rupture average 725 psi

Test 4 of 4

DIME Test ID: 2022-11-17-95-5
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 02/08/2023
Date Tested: 11/17/2022
Submitted By Organization: Blackburn Consulting
Organization Address: 2491 Boatman Avenue,
Organization City: West Sacrametno
Organization State: CA
Organization Zipcode: 95691
Organization Email: brycem@blackburnconsulting.com
Organization Phone: (916) 375-8706
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air content 2.5 %