Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993763 DEA: 101P0604 EFIS: 1022000065
QA Service Level: 1
DIST-CO-RTE-PM: 10-ALP/ALP-89-51.21/16.87
Work Description:
Location Description:
Contractor Name: Sinclair General Engineering
Contractor Address: PO Box 1453, Oakdale,CA 95361
Resident Engineer: Iqbal Aulakh Structure Rep.: Unknown
DIME Sample ID: 2023-06-16-60
TL Number from the TL Form:
Sample Submitted By Organization: Structure Cast
Sample Organization Contact: (661) 301-2624
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 06/16/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/19/2023
The quantity of what the sample constitutes: 11cy
A brief description of the sample: 4x8 cylinders
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: StructureCast
The concrete mix design number: 8.5SCC
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 8959
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Fabrication Yard
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-06-16-60-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: Structure Cast
Organization Address: 8261 McCutchen Road ,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93311
Organization Email: brent@structurecast.com
Organization Phone: (661) 301-2624
Data has not been verified.
