Sample Record for 2023-07-10-75
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994571 DEA: 042W6804 EFIS: 0421000251
QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL-101,280,880-VAR
Work Description: POLYESTER CONCRETE OVERLAY AND STRUCTURAL CONCRETE APPROACH SLAB.
Location Description: SANTA CLARA COUNTY AT VARIOUS LOCATIONS
Contractor Name: TRUESDELL CORPORATION OF CALIFORNIA, INC.
Contractor Address: 1310 W. 23rd Street, Tempe, AZ 85282
Resident Engineer: Hung V. Nguyen Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2023-07-10-75
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: 07/10/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/10/2023
The quantity of what the sample constitutes: 100CY
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: Short Load Concrete
Material Information
The concrete mix design number: CTS-75-SFA
The truck number from where the sample was collected: 10
The batch plant ticket number from where the sample was collected: 1NI
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test Results
Test 1 of 4
DIME Test ID: 2023-07-10-75-1
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 11/10/2023
Date Tested: 07/10/2023
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 4
DIME Test ID: 2023-07-10-75-2
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 11/10/2023
Date Tested: 07/10/2023
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 3 of 4
DIME Test ID: 2023-07-10-75-3
Test Method: ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 11/10/2023
Date Tested: 07/10/2023
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 4 of 4
DIME Test ID: 2023-07-10-75-4
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 11/10/2023
Date Tested: 07/10/2023
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:
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Unit weight of the concrete
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149.6 lb/ft^3
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Cement content
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0 lb/yd^3
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