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Sample Record for 2013-09-27-10401018

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 7780 DEA: 112T1824 EFIS: 1100020051 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-4.7/5.6
Work Description: REPLACE STRUCTURE AND CONSTRUCT DIRECT ACCESS RAMP (DAR).
Location Description: SAN DIEGO COUNTY IN CHULA VISTA FROM 0.4 MILE SOUTH OF EAST PALOMAR STREET OVERCROSSING TO 0.1 MILE NORTH OF NAPLES STREET UNDERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 5860 El Camino Real #200, Carlsbad, CA 92008
Resident Engineer: Tom Davis Structure Rep.: Ma, Anh

Sample Information

DIME Sample ID: 2013-09-27-10401018
TL Number from the TL Form:
Sample Submitted By Organization: Signet Testing Labs - Anaheim
Sample Organization Contact: 714-399-1500
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 09/27/2013
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2013
The quantity of what the sample constitutes: 5 cylinders
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Source
Laboratory sample identification: 2013-09-27-1040
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan

Material Information

The concrete mix design number: 105503F
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 151349
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Middel of bridge abutment footing
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test Information 4 of 6

DIME Test ID: 2013-09-27-10401018-4
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/04/2013
Date Tested: 10/01/2013
Submitted By Organization: Vulcan Materials Company - San Diego
Organization Address: 10051 Black Mountain Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92126
Organization Email:
Organization Phone: 619-572-9564
General Comments for this Test: ticket 151349
Additional Comments When Verified:
Number of specimens no data
Cylinder Age 4 days
Break Description of Cylinder 1 (if not 'cone') no data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.