Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994116 DEA: 010J4104 EFIS: 0119000025
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-299-30.7/33.4
Work Description: Project Name: HUM-299 Curve Improvement
Location Description: HUMBOLDT COUNTY NEAR WILLOW CREEK FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 0.1 MILE EAST OF EAST FORK WILLOW CREEK BRIDGE
Contractor Name: McCullough Construction Inc.
Contractor Address: 57 Alder Grove Road, Arcata, CA 95521
Resident Engineer: Ethan Retherford Structure Rep.: Laura Cangas
DIME Sample ID: 2024-03-27-3
TL Number from the TL Form:
Sample Submitted By Organization: Universal Precast Concrete - Redding
Sample Organization Contact: (530) 243-6477
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 03/27/2024
Date that the sample was received by the laboratory/organization performing the testing: 03/27/2024
The quantity of what the sample constitutes: 4.00cy
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Folsom Ready Mix
The concrete mix design number: Z82V0Q6
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 362
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: 2024-03-27-3-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Submitted By Organization: Universal Precast Concrete - Redding
Organization Address: 16538 Clear Creek Road,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: mikeb@universalprecast.com
Organization Phone: (530) 243-6477
Data has not been verified.
DIME Test ID: 2024-03-27-3-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: Universal Precast Concrete - Redding
Organization Address: 16538 Clear Creek Road,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: mikeb@universalprecast.com
Organization Phone: (530) 243-6477
Data has not been verified.
DIME Test ID: 2024-03-27-3-3
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Submitted By Organization: Universal Precast Concrete - Redding
Organization Address: 16538 Clear Creek Road,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: mikeb@universalprecast.com
Organization Phone: (530) 243-6477
Data has not been verified.
DIME Test ID: 2024-03-27-3-4
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: Universal Precast Concrete - Redding
Organization Address: 16538 Clear Creek Road,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: mikeb@universalprecast.com
Organization Phone: (530) 243-6477
Data has not been verified.
