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Testing Report for 2015-08-07-11-1

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

Project Information

DEA: 044A0904
EFIS: 0415000178
Project ID: 210032
QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29,101-47.0/47.2
Work Description: BRIDGE REPLACEMENT.
Location Description: NAPA COUNTY ABOUT 6. MILES NORTH OF CALISTOGA AT TROUTDALE CREEK BRIDGE.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Syd Valeh
Structure Rep.: Jonathan Chi

Sample Information

DIME Sample ID: 2015-08-07-11
TL Number from the TL Form: Unknown
Sample Submitted By Organization: RMA Group - Rancho Cordova
Sample Organization Contact: 916-631-7194
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 8/7/2015
Date that the sample was received by the laboratory/organization performing the testing: 8/8/2015
The quantity of what the sample constitutes: 100 cy
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier: Unknown
Structure name: Troutdale Creek Bridge
The fabricator/manufacturer/facility name: Harold Smith and Sons

Material Information

The concrete mix design number: CT2-25PC
The truck number from where the sample was collected: Truck No 1131
The batch plant ticket number from where the sample was collected: 121168
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: Load 2
Where the material sample would have been placed if not sampled: Abutment 2 and Retaining Wall 3
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2015-08-07-11-1
Test Method: ASTM C1064-12: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Date Tested: 8/7/2015
Verified Date: 9/25/2015
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: 916-631-7194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Temperature: 83 F