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Testing Report for 2021-06-09-13-3

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

Project Information

Project ID: 214422 DEA: 040J6424 EFIS: 0414000476 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-101-32.8/R54.2
Work Description: CRACK, SEAT AND OVERLAY WITH RHMA AND HMA, AND REPLACE CULVERTS.
Location Description: SONOMA COUNTY AT VARIOUS LOCATIONS FROM LIMERICK LANE OVERCROSSING TO ROUTE 101/128 SEPARATION
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Syd Valeh Structure Rep.: Jonathan Chi

Sample Information

DIME Sample ID: 2021-06-09-13
TL Number from the TL Form:
Sample Submitted By Organization: Oldcastle Precast Inc. Pleasanton Plant
Sample Organization Contact: 925-846-8183
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 06/09/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/09/2021
The quantity of what the sample constitutes: 2.8 CY
A brief description of the sample: SCC concrete
From where was the sample collected: Manufacturer
Laboratory sample identification: 21126
Structure unique identifier: 04-son-101-32.8/R54.2
Structure name: State Hwy in Sonoma County 101/128 Separation
The fabricator/manufacturer/facility name: Oldcastle Infrastructure

Material Information

The concrete mix design number: 55
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 92546
Concrete batch plant: Oldcastle Infrastructure
The fabricator/manufacturer designation for the sample: Mix No. 55
A detailed description of where the material sample was collected: Travelling Bucket
Where the material sample would have been placed if not sampled: RBC
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2021-06-09-13-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 06/14/2021
Date Tested: 06/09/2021
Submitted By Organization: Oldcastle Precast Inc. Pleasanton Plant
Organization Address: 3786 Valley Avenue,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94566
Organization Email: juan.maiz@oldcastle.com
Organization Phone: 925-846-8183
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Air content 3.3 %