Sample Record for 2023-03-31-34
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215396 DEA: 042K8404 EFIS: 0417000031
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-29,80-0.0,0.8/1.6
Work Description: HMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR.
Location Description: SOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING
Contractor Name: OC Jones & Sons Inc
Contractor Address: 1520 4th Street, Berkeley, CA 94710
Resident Engineer: Noel Aquino Structure Rep.: Angelo Perez
Sample Information
DIME Sample ID: 2023-03-31-34
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: 03/31/2023
Date that the sample was received by the laboratory/organization performing the testing: 03/31/2023
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: Central
Material Information
The concrete mix design number: D101C5RS
The truck number from where the sample was collected: 6241
The batch plant ticket number from where the sample was collected: 03094562
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Set 5 Stage 3 Deck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test Results
Test 1 of 2
DIME Test ID: 2023-03-31-34-1
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 04/12/2023
Date Tested: 03/31/2023
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:
Test 2 of 2
DIME Test ID: 2023-03-31-34-2
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 04/12/2023
Date Tested: 03/31/2023
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:
