Sample Record for 2023-04-14-17
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993169 DEA: 050A0904 EFIS: 0513000028
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-156-R1.4/R2.0
Work Description: WIDEN REINFORCED STRUCTURAL CONCRETE BRIDGE & REPLACE BRIDGE RAILING.
Location Description: MONTEREY COUNTY IN AND NEAR CASTROVILLE FROM 0.3 MILE EAST OF ROUTE 156/183 SEPARATION TO 0.2 MILE EAST OF CASTROVILLE BOULEVARD
Contractor Name: Granite Rock (Bryan Jones)
Contractor Address: 5225 Hellyer Ave, Ste 220, San Jose, CA 95138
Resident Engineer: David Hopper Structure Rep.: Dean Russu
Sample Information
DIME Sample ID: 2023-04-14-17
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Monterey Construction Field Laboratory
Sample Organization Contact: 831-818-0254
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 04/14/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/15/2023
The quantity of what the sample constitutes: 2 6x12 concrete cylinders
A brief description of the sample: Concrete for colomns
From where was the sample collected: Job Site
Laboratory sample identification: 0414230700
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Rock Salinas Batch
Material Information
The concrete mix design number: 57-7-750
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant: Granite Rock Salinas Batch
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Chute
Where the material sample would have been placed if not sampled: Bent column 2 and 3
From Lot No.:
Bag Lot No.:
Test Results
Test 1 of 1
DIME Test ID: 2023-04-14-17-1
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 04/18/2023
Date Tested: 04/13/2023
Submitted By Organization: CT D05 - Monterey Construction Field Laboratory
Organization Address: 1529 Salinas Highway,
Organization City: Monterey
Organization State: CA
Organization Zipcode: 93940
Organization Email: wesley.rider@dot.ca.gov
Organization Phone: (831) 818-0254
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2023-04-14-17-2 | ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | 04/18/2023 | 05/12/2023 | Wesley Rider | CT D05 - Monterey Construction Field Laboratory | | Frank Ortega |
71355
