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Sample Record for 2023-11-22-34

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Project Information

Project ID: 214015 DEA: 034H9504 EFIS: 0319000123 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC,SAC/YOL-12,160-0-0.4/26.3-26.4, Var, various
Work Description: Repair and modernize electromechanical bridge.
Location Description: In Sacramento County at four bridges.
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Masoud Saed Structure Rep.: Rusty D'Anna

Sample Information

DIME Sample ID: 2023-11-22-34
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 594-1991
Type of Sample: Informational
Type of Material: Concrete Core
Sample Taken Date: 11/22/2023
Date that the sample was received by the laboratory/organization performing the testing: 11/22/2023
The quantity of what the sample constitutes: 3 Cores
A brief description of the sample: Concrete Cores
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 24-0121
Structure name: 3 Mile Slough Bridge
The fabricator/manufacturer/facility name: Caltrans

Material Information

Detail description: Concrete
Structure names: 3 Mile Slough Bridge
Type of material: concrete
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2023-11-22-34-2
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
Verified Date: 12/13/2023
Date Tested: 12/13/2023
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: spencer.adams@dot.ca.gov
Organization Phone: (916) 227-5716
General Comments for this Test: Sample A: Only Unit Weight Density was performed.
Test Result Compliance:
Additional Comments When Verified:
Length of Core 0
L/D Ratio 0
Diameter of Core 0
Type of Fracture 1
Age of Specimen 0
Compressive Strength 0
Correction Factor 0
Corrected Strength 0
Calculated Density 144.14

Test 2 of 3

DIME Test ID: 2023-11-22-34-3
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
Verified Date: 12/13/2023
Date Tested: 12/13/2023
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: spencer.adams@dot.ca.gov
Organization Phone: (916) 227-5716
General Comments for this Test: Sample B: Only Unit Weight Density was performed.
Test Result Compliance:
Additional Comments When Verified:
Length of Core 0
L/D Ratio 0
Diameter of Core 0
Type of Fracture 1
Age of Specimen 0
Compressive Strength 0
Correction Factor 0
Corrected Strength 0
Calculated Density 144.77

Test 3 of 3

DIME Test ID: 2023-11-22-34-4
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
Verified Date: 12/13/2023
Date Tested: 12/13/2023
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: spencer.adams@dot.ca.gov
Organization Phone: (916) 227-5716
General Comments for this Test: Sample C: Only Unit Weight Density was performed.
Test Result Compliance:
Additional Comments When Verified:
Length of Core 0
L/D Ratio 0
Diameter of Core 0
Type of Fracture 1
Age of Specimen 0
Compressive Strength 0
Correction Factor 0
Corrected Strength 0
Calculated Density 143.52