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Sample Record for 2022-12-18-15

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

Project Information

Project ID: 213598 DEA: 051F75U4 EFIS: 0518000092 QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-101-R36.9/47.7
Work Description: CRCP, SEISMIC RETROFIT, BRIDGE WIDENING AND MEDIAN BARRIER
Location Description: MONTEREY COUNTY IN AND NEAR KING CITY FROM 0.4 MILE SOUTH OF WILD HORSE ROAD OVERCROSSING TO TEAGUE AVENUE
Contractor Name: OHL USA, INC.
Contractor Address: 1920 Main St. Suite 310, Irvine, CA 92614
Resident Engineer: Adam Rianda Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-12-18-15
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Paso Robles Field Laboratory
Sample Organization Contact: 1 (209) 610-9363
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 12/18/2022
Date that the sample was received by the laboratory/organization performing the testing: 12/18/2022
The quantity of what the sample constitutes: 1000CY
A brief description of the sample: Concrete beams
From where was the sample collected: Job Site
Laboratory sample identification: 221218-1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: OHL Batch Plant

Material Information

The concrete mix design number: SCI-12101-4
The truck number from where the sample was collected: 19
The batch plant ticket number from where the sample was collected: 10
Concrete batch plant:
The fabricator/manufacturer designation for the sample: Batch plant
A detailed description of where the material sample was collected: Loader bucket
Where the material sample would have been placed if not sampled: Salinas River Bridge
From Lot No.:
Bag Lot No.:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2022-12-18-15-1
Test Method: ASTM C293-10: Standard Test Method for Flexural Strength of Concrete (Using Simple Beam With Center-Point Loading)
Verified Date: 02/27/2023
Date Tested: 12/18/2022
Submitted By Organization: CT D05 - Paso Robles Field Laboratory
Organization Address: 9191 Sand Diego Way, Space #9,
Organization City: Atascadero
Organization State: CA
Organization Zipcode: 93422
Organization Email: isaac.larey.chezem@dot.ca.gov
Organization Phone: (805) 234-6493
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Modulus of rupture 760 psi