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Testing Report for 2014-05-23-13000954-3

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

Project Information

DEA: 030F2204
EFIS: 0300000072
Project ID: 209175
QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-R30.7/R31.7
Work Description: REPLACE BRIDGE.
Location Description: SLY PARK UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Jarrett Woodruff
Structure Rep.: Brandon Miller

Sample Information

DIME Sample ID: 2014-05-23-13000954
TL Number from the TL Form:
Sample Submitted By Organization: CT D03 - Sacramento Structures Construction Sanders Construction Field Office
Sample Organization Contact: (916) 505-6839
Type of Sample: Verification
Type of Material: Concrete
Sample Taken Date: 5/23/2014
Date that the sample was received by the laboratory/organization performing the testing: 5/28/2014
The quantity of what the sample constitutes: 8 Cylinders
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier: 25 0042
Structure name: Sly Park Rd UC
The fabricator/manufacturer/facility name: Jobsite

Material Information

The concrete mix design number: F628AFST0
The truck number from where the sample was collected: 17
The batch plant ticket number from where the sample was collected: 1043371
Concrete batch plant: 1B
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled: Stage 1 Abutment 1 Footing
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2014-05-23-13000954-3
Test Method: ASTM C138-10b: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Date Tested: 5/23/2014
Verified Date: 6/6/2014
Submitted By Organization: CT D03 - Sacramento Structures Construction Sanders Construction Field Office
Organization Address: 11323 Sanders Dr,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95742
Organization Email: brandon.miller@dot.ca.gov
Organization Phone: (916) 505-6839
General Comments for this Test:
Test Result Compliance: comply
Additional Comments When Verified :

Submitted Test Results

Identification of concrete represented by the sample: F628AFST0 Stage 1 Abutment 1 Footing
Volume of the measure: 0.5 ft^3
Density of concrete: 152.1 lb/ft^3
Yield of concrete: 9.8 yd^3
Relative yield of the batch: 0.98
Cement content: 604.6 lb/ft^3
Air content: -463.8 %