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Testing Report for 2021-09-07-36-4

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

Project Information

DEA: 032F5704
EFIS: 0300020615
Project ID: 215063
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-46.3/63.5
Work Description: Replace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay)
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Tad Sampson
Structure Rep.: Jimmer Ross

Sample Information

DIME Sample ID: 2021-09-07-36
TL Number from the TL Form:
Sample Submitted By Organization: Kie-Con, Inc.
Sample Organization Contact: (925) 331-7122
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 9/7/2021
Date that the sample was received by the laboratory/organization performing the testing: 9/8/2021
The quantity of what the sample constitutes: 25 CY
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: KIE-CON, INC

Material Information

The concrete mix design number: K5670-100 CPA R4
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 111992
Concrete batch plant:
The fabricator/manufacturer designation for the sample: 20-111C 9/7/2021
A detailed description of where the material sample was collected: Concrete sample from wheelbarrow
Where the material sample would have been placed if not sampled: Voided Slab
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2021-09-07-36-4
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Date Tested: 9/7/2021
Verified Date: 10/20/2021
Submitted By Organization: Kie-Con, Inc.
Organization Address: 3550 Wilbur Ave,
Organization City: Antioch
Organization State: CA
Organization Zipcode: 94509
Organization Email: estuardo.ramirez@kiecon.com
Organization Phone: (925) 331-7122
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Identification of concrete represented by the sample: 111992
Volume of the measure: 0.25 ft^3
Density of concrete: 147.2 lb/ft^3
Yield of concrete: no data
Relative yield of the batch: no data
Cement content: no data
Air content: no data