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Testing Report for 2015-09-25-6-3

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

Project Information

DEA: 04235624
EFIS: 0400000678
Project ID: 209187
QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL,SM-101-52.0/52.6,0.0/0.6
Work Description: BRIDGE REPLACEMENT
Location Description: SANTA CLARA AND SAN MATEO COUNTIES IN PALO ALTO AND EAST PALO ALTO FROM OREGON EXPRESSWAY OVERCROSSING TO 0.3 MILE SOUTH OF UNIVERSITY AVENUE OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Fernando Abela
Structure Rep.: Yannaing Tun

Sample Information

DIME Sample ID: 2015-09-25-6
TL Number from the TL Form: Unknown
Sample Submitted By Organization: Summit Associates
Sample Organization Contact: 208-908-3498
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 9/25/2015
Date that the sample was received by the laboratory/organization performing the testing: 9/28/2015
The quantity of what the sample constitutes: One Sample Every 100 CY
A brief description of the sample: 4 EA 6x12 Compression Cylinder
From where was the sample collected: Job Site
Laboratory sample identification: 150170
Structure unique identifier: 350348
Structure name: Pier 4 Wall
The fabricator/manufacturer/facility name: Central Concrete

Material Information

The concrete mix design number: D15PP562
The truck number from where the sample was collected: 1237
The batch plant ticket number from where the sample was collected: 18096107
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: Truck Chute
Where the material sample would have been placed if not sampled: Pier 4 Wall
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2015-09-25-6-3
Test Method: ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Date Tested: 9/25/2015
Verified Date: 10/12/2015
Submitted By Organization: Summit Associates
Organization Address: 2300 Clayton Road, Suite 1380,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: Kittric.guest@summitcm.com
Organization Phone: 208-908-3498
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Slump: 3.75 inch