Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215620 DEA: 01436404 EFIS: 0100000193
QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-35.8/36.5
Work Description: Dr. Fine Bridge Replacement
Location Description: DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER.
Contractor Name: MCM Construction
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Clayton Malmberg Structure Rep.: Brian Cinkutis
DIME Sample ID: 2024-10-09-1
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3667 - Crescent City
Sample Organization Contact: (707) 498-3018
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/09/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/09/2024
The quantity of what the sample constitutes: ~11CY of SR 3/8s CIDH
A brief description of the sample: Concrete for abutment cidh
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Dr. Fine Bridge
The fabricator/manufacturer/facility name: Tidewater Contractors
The concrete mix design number: SR 3/8s CIDH
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 61515
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: from mix truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-10-09-1-1
Test Method: ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: CT SC - 3667 - Crescent City
Organization Address: 6301 North State Street,
Organization City: Redwood Valley
Organization State: CA
Organization Zipcode: 95470
Organization Email: bryan.bet@dot.ca.gov
Organization Phone: (707) 498-3018
Data has not been verified.
DIME Test ID: 2024-10-09-1-2
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Submitted By Organization: CT SC - 3667 - Crescent City
Organization Address: 6301 North State Street,
Organization City: Redwood Valley
Organization State: CA
Organization Zipcode: 95470
Organization Email: bryan.bet@dot.ca.gov
Organization Phone: (707) 498-3018
Data has not been verified.
DIME Test ID: 2024-10-09-1-3
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Submitted By Organization: CT SC - 3667 - Crescent City
Organization Address: 6301 North State Street,
Organization City: Redwood Valley
Organization State: CA
Organization Zipcode: 95470
Organization Email: bryan.bet@dot.ca.gov
Organization Phone: (707) 498-3018
Data has not been verified.
DIME Test ID: 2024-10-09-1-4
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Submitted By Organization: CT SC - 3667 - Crescent City
Organization Address: 6301 North State Street,
Organization City: Redwood Valley
Organization State: CA
Organization Zipcode: 95470
Organization Email: bryan.bet@dot.ca.gov
Organization Phone: (707) 498-3018
Data has not been verified.
DIME Test ID: 2024-10-09-1-5
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/16/2024
Date Tested: 10/16/2024
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: 10/16/24 7 day breal
Test Result Compliance:
Additional Comments When Verified:
|
Number of specimens
|
3
|
|
Average Compressive Strength (to nearest 10)
|
2810 lb/in^2
|
|
Cylinder Age
|
7 days
|
|
Break Description of Cylinder 1 (if not 'cone')
|
5
|
|
Break Description of Cylinder 2 (if not 'cone')
|
5
|
|
Break Description of Cylinder 3 (if not 'cone')
|
5
|
DIME Test ID: 2024-10-09-1-6
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/06/2024
Date Tested: 11/06/2024
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: 11/6/24 28 Day Break
Test Result Compliance:
Additional Comments When Verified:
|
Number of specimens
|
3
|
|
Average Compressive Strength (to nearest 10)
|
6050 lb/in^2
|
|
Cylinder Age
|
28 days
|
|
Break Description of Cylinder 1 (if not 'cone')
|
5
|
|
Break Description of Cylinder 2 (if not 'cone')
|
2
|
|
Break Description of Cylinder 3 (if not 'cone')
|
5
|
DIME Test ID: 2024-10-09-1-7
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/04/2024
Date Tested: 12/04/2024
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: 12/4/24 56 Day Break
Test Result Compliance:
Additional Comments When Verified:
|
Number of specimens
|
3
|
|
Average Compressive Strength (to nearest 10)
|
7360 lb/in^2
|
|
Cylinder Age
|
56 days
|
|
Break Description of Cylinder 1 (if not 'cone')
|
5
|
|
Break Description of Cylinder 2 (if not 'cone')
|
4
|
|
Break Description of Cylinder 3 (if not 'cone')
|
5
|
