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Sample Record for 2013-09-27-4159227

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

Project Information

Project ID: 8127 DEA: 080N5904 EFIS: 0800000533 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R85.2
Work Description: CONSTRUCT PC/PS BULB-TEE GIRDER BRIDGE
Location Description: SAN BERNARDINO COUNTY NEAR ESSEX AT VAN WINKLE WASH BRIDGE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: P.O. Box 50085, Watsonville, CA 95077
Resident Engineer: Khoa Nguyen Structure Rep.: Chuang, Ching

Sample Information

DIME Sample ID: 2013-09-27-4159227
TL Number from the TL Form:
Sample Submitted By Organization: SCST, LLC.
Sample Organization Contact: (619) 280-4321
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: 09/28/2013
The quantity of what the sample constitutes: 6 cylinders
A brief description of the sample: Abutment No. 3 Diaphragms (Intermediate) 3rd Span Shear
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hi-Grade Concrete Truck 174

Material Information

The concrete mix design number: SITI72SK-4500
The truck number from where the sample was collected: 174
The batch plant ticket number from where the sample was collected: 811872
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete Truck 174
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test Information 2 of 6

DIME Test ID: 2013-09-27-4159227-2
Test Method: ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 10/30/2013
Date Tested: 09/27/2013
Submitted By Organization: SCST, LLC.
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 280-4321
General Comments for this Test:
Additional Comments When Verified:
Slump 3.5 inch

Tests Assigned to this Sample

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