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Sample Record for 2013-10-31-9352719

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

Project Information

Project ID: 8127 DEA: 080N5904 EFIS: 0800000533 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R85.2
Work Description: CONSTRUCT PC/PS BULB-TEE GIRDER BRIDGE
Location Description: SAN BERNARDINO COUNTY NEAR ESSEX AT VAN WINKLE WASH BRIDGE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: P.O. Box 50085, Watsonville, CA 95077
Resident Engineer: Khoa Nguyen Structure Rep.: Ching Chuang

Sample Information

DIME Sample ID: 2013-10-31-9352719
TL Number from the TL Form:
Sample Submitted By Organization: SCST, LLC
Sample Organization Contact: (619) 280-4321
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 10/31/2013
Date that the sample was received by the laboratory/organization performing the testing: 11/01/2013
The quantity of what the sample constitutes: 4 concrete cylinders
A brief description of the sample: concrete cylinders
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: High Grade

Material Information

The concrete mix design number: JT685F25-4500
The truck number from where the sample was collected: 157
The batch plant ticket number from where the sample was collected: 304773
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: East Side Bridge Approach
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 4

DIME Test ID: 2013-10-31-9352719-1
Test Method: ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 12/05/2013
Date Tested: 10/31/2013
Submitted By Organization: SCST, LLC
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 528-4716
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 5 inch

Test 2 of 4

DIME Test ID: 2013-10-31-9352719-2
Test Method: ASTM C173-10b: Standard Test Method for Air Content of Freshly Mixed Concrete by the Volumetric Method
Verified Date: 12/05/2013
Date Tested: 10/31/2013
Submitted By Organization: SCST, LLC
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 528-4716
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air content 2 %

Test 3 of 4

DIME Test ID: 2013-10-31-9352719-3
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521
Verified Date: 12/05/2013
Date Tested: 11/07/2013
Submitted By Organization: SCST, LLC
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 528-4716
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed no data
Comment on any defect in either specimen or caps (Max 250 Characters) no data

Test 4 of 4

DIME Test ID: 2013-10-31-9352719-4
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521
Verified Date: 12/05/2013
Date Tested: 11/28/2013
Submitted By Organization: SCST, LLC
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 528-4716
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed no data
Comment on any defect in either specimen or caps (Max 250 Characters) no data