Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000600 DEA: 051Q3904 EFIS: 0523000023
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-3.12/3.12
Work Description: Construct Concrete Swale
Location Description:
Contractor Name: Brough Construction
Contractor Address: 634 Printz Road, Arroyo Grande, CA 93420
Resident Engineer: Luobao Cai Structure Rep.: Unknown
DIME Sample ID: 2024-10-02-16
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Sample Organization Contact: (805) 621-3616
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/02/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/02/2024
The quantity of what the sample constitutes: 10 CY
A brief description of the sample: 1 x 4 PCC Aggregates
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CEMEX Santa Barbara
The concrete mix design number: 1629003
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 31365507
Concrete batch plant:
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:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-10-02-16-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 10/02/2024
Date Tested: 10/02/2024
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2024-10-02-16-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 10/02/2024
Date Tested: 10/02/2024
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2024-10-02-16-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/22/2025
Date Tested: 10/30/2024
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Unit system used?
|
US Units
|
|
Number of specimens
|
3
|
|
Test performed
|
With no density determined
|
|
Capped in accordance with?
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ASTM C1231 - Unbonded Elastomeric Pad Cap
|
|
Average diameter of cylinder 1
|
4.00 in
|
|
Average diameter of cylinder 2
|
4.00 in
|
|
Average diameter of cylinder 3
|
4.00 in
|
|
Cross sectional area of cylinder 1
|
12.57 in^2
|
|
Cross sectional area of cylinder 2
|
12.57 in^2
|
|
Cross sectional area of cylinder 3
|
12.57 in^2
|
|
Compressive strength (to nearest 10 psi)
|
5630 psi
|
|
Maximum load on cylinder 1
|
69050 lb
|
|
Maximum load on cylinder 2
|
71510 lb
|
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Maximum load on cylinder 3
|
71880 lb
|
|
Compressive strength of cylinder 1
|
5493.2 psi
|
|
Type of fracture pattern of cylinder 1
|
5
|
|
Compressive strength of cylinder 2
|
5688.9 psi
|
|
Compressive strength of cylinder 3
|
5718.4 psi
|
|
Type of fracture pattern of cylinder 2
|
5
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Type of fracture pattern of cylinder 3
|
5
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|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
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Correction factor for cylinder 1
|
1
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Correction factor for cylinder 2
|
1
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Correction factor for cylinder 3
|
1
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Age of specimen
|
28 days
|
|
Age of specimen in hours
|
no data0 hours
|
DIME Test ID: 2024-10-02-16-4
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/22/2025
Date Tested: 11/13/2024
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Unit system used?
|
US Units
|
|
Number of specimens
|
3
|
|
Test performed
|
With no density determined
|
|
Capped in accordance with?
|
ASTM C1231 - Unbonded Elastomeric Pad Cap
|
|
Average diameter of cylinder 1
|
4.00 in
|
|
Average diameter of cylinder 2
|
4.00 in
|
|
Average diameter of cylinder 3
|
4.00 in
|
|
Cross sectional area of cylinder 1
|
12.57 in^2
|
|
Cross sectional area of cylinder 2
|
12.57 in^2
|
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Cross sectional area of cylinder 3
|
12.57 in^2
|
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Compressive strength (to nearest 10 psi)
|
5870 psi
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Maximum load on cylinder 1
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76640 lb
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Maximum load on cylinder 2
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73360 lb
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Maximum load on cylinder 3
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71300 lb
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Compressive strength of cylinder 1
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6097.1 psi
|
|
Type of fracture pattern of cylinder 1
|
5
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Compressive strength of cylinder 2
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5836.1 psi
|
|
Compressive strength of cylinder 3
|
5672.2 psi
|
|
Type of fracture pattern of cylinder 2
|
2
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Type of fracture pattern of cylinder 3
|
2
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|
Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
|
|
Correction factor for cylinder 1
|
1
|
|
Correction factor for cylinder 2
|
1
|
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Correction factor for cylinder 3
|
1
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Age of specimen
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42 days
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Age of specimen in hours
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no data0 hours
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