Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215180 DEA: 060Q9204 EFIS: 0614000010 COOP: 061764
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-99-10.4/21.2
Work Description: CONSTRUCT CRCP AND HMA (TYPE A) PAVEMENT.
Location Description: KERN COUNTY IN AND NEAR BAKERSFIELD FROM 0.4 MILE SOUTH OF OLD US 99 OVERCROSSING TO 0.1 MILE NORTH OF WHITE LANE OVERCROSSING
Contractor Name: Griffith Company
Contractor Address: 1128 Carrier Parkway, Bakersfield ,CA 93308
Resident Engineer: James Burford Structure Rep.: Ulysis Baal
DIME Sample ID: 2023-05-08-7
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Department Acceptance
Type of Material: Concrete
Sample Taken Date: 05/08/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/08/2023
The quantity of what the sample constitutes: 10 CY load 1
A brief description of the sample: CRCP -sample for testing
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hwy 223 off ramp sb 99
The concrete mix design number: G3-21-PCC-263
The truck number from where the sample was collected: 12
The batch plant ticket number from where the sample was collected: 101
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-05-08-7-1
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 05/09/2023
Date Tested: 05/08/2023
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test: load #1
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2023-05-08-7-2
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 05/09/2023
Date Tested: 05/08/2023
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Unit weight of the concrete
|
146.92 lb/ft^3
|
|
Volume of the concrete
|
10.108 yd^3
|
|
Cement content
|
581.223 lb/yd^3
|
DIME Test ID: 2023-05-08-7-3
Test Method: CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete
Verified Date: 05/09/2023
Date Tested: 05/08/2023
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Ball penetration in freshly mixed concrete (average)
|
0.75 inch
|
DIME Test ID: 2023-05-08-7-4
Test Method: CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement Concrete
Verified Date: 05/09/2023
Date Tested: 05/08/2023
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Temperature of the freshly mixed concrete
|
77 F
|
