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Testing Report for 2013-10-17-23007642-3

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

Project Information

DEA: 112T1824
EFIS: 1100020051
Project ID: 7780
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-4.7/5.6
Work Description: REPLACE STRUCTURE AND CONSTRUCT DIRECT ACCESS RAMP (DAR).
Location Description: SAN DIEGO COUNTY IN CHULA VISTA FROM 0.4 MILE SOUTH OF EAST PALOMAR STREET OVERCROSSING TO 0.1 MILE NORTH OF NAPLES STREET UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Tom Davis
Structure Rep.: Anh Ma

Sample Information

DIME Sample ID: 2013-10-17-23007642
TL Number from the TL Form:
Sample Submitted By Organization: Signet Testing Labs - Anaheim
Sample Organization Contact: 714-399-1500
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 10/17/2013
Date that the sample was received by the laboratory/organization performing the testing: 10/22/2013
The quantity of what the sample constitutes: 5 cylinders
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Source
Laboratory sample identification: 2013-10-17-1100
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: vulcan

Material Information

The concrete mix design number: 105503F
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 153475
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: 301L footing
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2013-10-17-23007642-3
Test Method: ASTM C1064-08: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Date Tested: 10/24/2013
Verified Date: 10/28/2013
Submitted By Organization: Signet Testing Labs - Anaheim
Organization Address: 1320 Simpson Circle,
Organization City: Anaheim
Organization State: CA
Organization Zipcode: 92806
Organization Email:
Organization Phone: 714-399-1500
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Temperature: 75 F