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Testing Report for 2021-05-11-35-1

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

Project Information

DEA: 033F5104
EFIS: 0313000020
Project ID: 212324
QA Service Level: 1
DIST-CO-RTE-PM: 03-YUB-20-R18.1/R20.1
Work Description: Construct bridge, realign curve & widen shoulders.
Location Description: Construction on state highway in Yuba County near Smartsville from the Yuba River Bridge to 0.3 mile east of Smartsville Road.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Aaron Chamberlin
Structure Rep.: Brent Bullard

Sample Information

DIME Sample ID: 2021-05-11-35
TL Number from the TL Form:
Sample Submitted By Organization: Trinity Engineering Laboratories, Inc. - Fresno
Sample Organization Contact: 559-292-2188
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 5/11/2021
Date that the sample was received by the laboratory/organization performing the testing: 5/12/2021
The quantity of what the sample constitutes: 4 cylinders
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A and A Concrete Supply Inc

Material Information

The concrete mix design number: Z5605210
The truck number from where the sample was collected: 0544
The batch plant ticket number from where the sample was collected: 3175183
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2021-05-11-35-1
Test Method: ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Date Tested: 5/11/2021
Verified Date: 8/17/2021
Submitted By Organization: Trinity Engineering Laboratories, Inc. - Fresno
Organization Address: 2437 N. Sunnyside Ave.,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93727
Organization Email:
Organization Phone: 559-292-2188
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Slump: 4 inch