Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994464 DEA: 042Y8804 EFIS: 0423000169
QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-12-15.382/15.382
Work Description:
Location Description:
Contractor Name: Ghilotti Brothers
Contractor Address: 246 Ghilloti Ave, Santa Rosa CA 95407
Resident Engineer: Leonard brajnikoff Structure Rep.: James Cook
DIME Sample ID: 2023-01-27-39
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory
Sample Organization Contact: (510) 385-6841
Type of Sample: Department Acceptance
Type of Material: Concrete Core
Sample Taken Date: 01/27/2023
Date that the sample was received by the laboratory/organization performing the testing: 03/21/2023
The quantity of what the sample constitutes: 36 CY
A brief description of the sample: Rapid Strength Concrete Type III
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 20-0203R/L
Structure name: Hwy 12, Dutton Bridge, Approach Slab Northeast, Lane 1
The fabricator/manufacturer/facility name: Ghilotti Brothers
Detail description: Two core cylinders are three inch in diameter and about eleven inches tall
Structure names: Dutton bridge approach slab
Type of material: Rapid strength concrete Type III
DIME Test ID: 2023-01-27-39-1
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
Verified Date: 03/21/2023
Date Tested: 03/21/2023
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: spencer.adams@dot.ca.gov
Organization Phone: (916) 227-5716
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Length of Core
|
5.79
|
L/D Ratio
|
1.47
|
Diameter of Core
|
3.93
|
Type of Fracture
|
1
|
Age of Specimen
|
1
|
Compressive Strength
|
8246
|
Correction Factor
|
0.957
|
Corrected Strength
|
7890
|
Calculated Density
|
no data0 lb/ft^3
|