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Testing Report for 2014-10-01-5-3

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: 2014-10-01-5
TL Number from the TL Form:
Sample Submitted By Organization: Viking Construction Company, Inc. - Rancho Cordova
Sample Organization Contact: (916) 852-5530
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 10/1/2014
Date that the sample was received by the laboratory/organization performing the testing: 10/1/2014
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Diaphragms WB
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier: Unknown
Structure name: Unknown
The fabricator/manufacturer/facility name: Folsom Ready Mix

Material Information

The concrete mix design number: SF850AFST0
The truck number from where the sample was collected: Unknown
The batch plant ticket number from where the sample was collected: 1050658
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: Folsom Ready Mix Stockpile
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2014-10-01-5-3
Test Method: ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Date Tested: 10/1/2014
Verified Date: 10/13/2014
Submitted By Organization: Viking Construction Company, Inc. - Rancho Cordova
Organization Address: 11315 Sunrise Gold Circle, Suite A,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: dfishback@vikingbridges.com
Organization Phone: (916) 852-5530
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Slump: 3.5 inch