Sample Record for 2024-04-02-39
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 209820 DEA: 04297634 EFIS: 0415000040 COOP: 042548
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-84,680-17.9/21
Work Description: ROUTE 84 WIDENING (4-LANE EXPRESSWAY) FROM I-680 TO PIGEON PASS, INCLUDING INTERSECTION, DRAINAGE IMPROVEMENTS AND UTILITY RELOCATION.
Location Description: ALAMEDA COUNTY IN AND NEAR SUNOL, PLEASANTON, AND LIVERMORE ON ROUTE 84 FROM 0.1 MILE EAST OF ROUTE 680 TO 0.1 MILE SOUTH OF RUBY HILL DRIVE AND ON ROUTE 680 FROM 1.2 MILES SOUTH TO 1.8 MILES NORTH OF ROUTE 84
Contractor Name: Bay Cities Paving & Grading
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
Resident Engineer: Paramjit Pandher Structure Rep.: Ehab Wahed
Sample Information
DIME Sample ID: 2024-04-02-39
TL Number from the TL Form: 172758
Sample Submitted By Organization: CT SC - 3674 - Livermore
Sample Organization Contact: (510) 393-1493
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 04/02/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/12/2024
The quantity of what the sample constitutes: 3 cylinders
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 01-33E0419
Structure name: RW2 Barrier Slab section 2
The fabricator/manufacturer/facility name: Central Concrete Supply
Material Information
The concrete mix design number: D20115EA
The truck number from where the sample was collected: Load 10 Truck 6273
The batch plant ticket number from where the sample was collected: 5812532
Concrete batch plant: 617
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: conccrete sample from 5 gallon bucket, taken from truck chute
Where the material sample would have been placed if not sampled: barrier slab
From Lot No.:
Bag Lot No.:
Test Results
