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Testing Report for 2021-07-13-34-2

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

Project Information

DEA: 033F5404
EFIS: 0313000136
Project ID: 214492
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99,160-4.5/5.7,R44.5
Work Description: FURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location Description: SACRAMENTO COUNTY NEAR GALT ON ROUTE 99 FROM NORTH OF MINGO ROAD TO SOUTH OF ARNO ROAD OVERCROSSING AND IN SACRAMENTO ON ROUTE 160 AT AMERICAN RIVER BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mohssen Ghassemi
Structure Rep.: Chris Quon

Sample Information

DIME Sample ID: 2021-07-13-34
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: 7/13/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/14/2021
The quantity of what the sample constitutes: 4 cylinders
A brief description of the sample: 1615759
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CEMEX Lodi

Material Information

The concrete mix design number: 1615759
The truck number from where the sample was collected: 1003566
The batch plant ticket number from where the sample was collected: 29741650
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: 2021-07-13-34-2
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Date Tested: 7/13/2021
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

Air Content: 1.5 %