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Testing Report for 2021-08-27-10-3

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

Project Information

DEA: 120K0234
EFIS: 1214000100
Project ID: 214951
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-17.1/18.9
Work Description: South County Improvement Project (Phase 3 - El Toro/Alicia) WIDEN FREEWAY AND BRIDGES, RECONSTRUCT BRIDGE AND WALLS.
Location Description: ORANGE COUNTY IN MISSION VIEJO, LAGUNA HILLS, LAGUNA WOODS AND LAKE FOREST FROM 0.4 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING TO 0.2 MILE NORTH OF EL TORO ROAD UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Majid Javaherneshan
Structure Rep.: Young Kim

Sample Information

DIME Sample ID: 2021-08-27-10
TL Number from the TL Form:
Sample Submitted By Organization: Con-Fab California, LLC
Sample Organization Contact: 661-630-7162
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 8/27/2021
Date that the sample was received by the laboratory/organization performing the testing: 8/30/2021
The quantity of what the sample constitutes: One girder
A brief description of the sample: PCC 6"x12" test cylinder
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Con-Fab California LLC

Material Information

The concrete mix design number: SCC-S98-0F
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 1623
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Casting Bed Alpha West
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2021-08-27-10-3
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Date Tested: 8/27/2021
Verified Date: 9/2/2021
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Ave,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: trevorl@confabca.com
Organization Phone: 661-630-7162
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Temperature: 82 F