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Testing Report for 2014-11-06-4-1

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: 2014-11-06-4
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: 11/6/2014
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 2 concrete cylinders
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Other
Laboratory sample identification: Unknown
Structure unique identifier: 25 0150
Structure name: Sly Park Rd UC
The fabricator/manufacturer/facility name: Jobsite

Material Information

The concrete mix design number: SF718AFST6
The truck number from where the sample was collected: 17
The batch plant ticket number from where the sample was collected: 1052439
Concrete batch plant: 1B
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: Discharge from concrete truck load 8 into wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2014-11-06-4-1
Test Method: ASTM C231-10: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Date Tested: 11/6/2014
Verified Date: 11/7/2014
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

Air content: 5 %