Sample Record for 2023-06-29-45
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994090 DEA: 01434804 EFIS: 0100000672
QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-1-62.0/62.3
Work Description: Pudding Creek Bridge Widening
Location Description: MENDOCINO COUNTY IN FORT BRAGG FROM ELM STREET TO PUDDING CREEK ROAD 421
Contractor Name: MCM Construction, Inc.
Contractor Address: P.O. Box 620, North Highland, CA 95660
Resident Engineer: Roozbeh Hadipour Structure Rep.: David Rivas
Sample Information
DIME Sample ID: 2023-06-29-45
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Redwood Valley Field Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 06/29/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/29/2023
The quantity of what the sample constitutes: 15.5 CY
A brief description of the sample: 7.2 Sk Structural (Corrosive)
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 10-0158
Structure name: Pudding Creek Bridge
The fabricator/manufacturer/facility name: geoaggregates
Material Information
The concrete mix design number: 7-Sk-Structual
The truck number from where the sample was collected: 10
The batch plant ticket number from where the sample was collected: 24443
Concrete batch plant: Geoaggregates
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.:
Test Results
Test 1 of 3
DIME Test ID: 2023-06-29-45-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: CT D01 - Redwood Valley Field Laboratory
Organization Address: 6301 North State Street,RSP #496
Organization City: Redwood Valley
Organization State: CA
Organization Zipcode: 95470
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
This test has been superseded on 07/25/2023.
Reason: retested
Test 2 of 3
DIME Test ID: 2023-06-29-45-2
Test Method: CTM 556-March 2016: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 07/25/2023
Date Tested: 06/29/2023
Submitted By Organization: CT D01 - Redwood Valley Field Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Test 3 of 3
DIME Test ID: 2023-06-29-45-3
Test Method: CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement Concrete
Verified Date: 07/25/2023
Date Tested: 06/29/2023
Submitted By Organization: CT D01 - Redwood Valley Field Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Temperature of the freshly mixed concrete
|
64 F
|
