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Sample Record for 2014-03-28-8105513

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: 2014-03-28-8105513
TL Number from the TL Form:
Sample Submitted By Organization: RMA Group - Rancho Cucamonga
Sample Organization Contact: 909-989-1751
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 03/28/2014
Date that the sample was received by the laboratory/organization performing the testing:
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: 2014-03-28-0810
Structure unique identifier: 2014-03-28-0810
Structure name:
The fabricator/manufacturer/facility name: Vulcan Mission Valley

Material Information

The concrete mix design number: 105503F
The truck number from where the sample was collected: 1329
The batch plant ticket number from where the sample was collected: 108194
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: RW 296L Station 11 plus 50
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test Information 3 of 7

DIME Test ID: 2014-03-28-8105513-3
Test Method: ASTM C1064-08: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 05/20/2014
Date Tested: 03/28/2014
Submitted By Organization: RMA Group - Rancho Cucamonga
Organization Address: 12130 Santa Margarita Court,
Organization City: Rancho Cucamonga
Organization State: CA
Organization Zipcode: 91730
Organization Email:
Organization Phone: 909-989-1751
General Comments for this Test:
Additional Comments When Verified:
Temperature 68 F

Tests Assigned to this Sample

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