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Testing Report for 2020-12-18-5-5

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

Project Information

DEA: 081C38U4
EFIS: 0817000196
Project ID: 213707
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-6.7/R25.1
Work Description: Remove concrete pavement and base, and place HMA and JPCP
Location Description: ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Elvira Lenart
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-12-18-5
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: (951) 840-8328
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 12/18/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/19/2020
The quantity of what the sample constitutes: 4 Beams
A brief description of the sample: JPCP beams
From where was the sample collected: Job Site
Laboratory sample identification: 7JJA1, 7JJA2, 7JJB1, 7JJB2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Coffman Specialties, Inc

Material Information

The concrete mix design number: 1906-11
The truck number from where the sample was collected: Unknown
The batch plant ticket number from where the sample was collected: tt
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: Discharge from concrete truck into wheelbarrow
Where the material sample would have been placed if not sampled: Unknown
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Information

DIME Test ID: 2020-12-18-5-5
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Date Tested: 12/18/2020
Verified Date: 12/31/2020
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Unit weight of the concrete: 140.8 lb/ft^3
Volume of the concrete: 10 yd^3
Cement content: 592 lb/yd^3