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Sample Record for 2024-10-09-45

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Project Information

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

Sample Information

DIME Sample ID: 2024-10-09-45
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

Material Information

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 rebar cage, inside CIDH
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-10-09-45-1
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 Break, 1 Cylinder
Test Result Compliance:
Additional Comments When Verified:
Number of specimens 1
Average Compressive Strength (to nearest 10) 2620 lb/in^2
Cylinder Age 7 days
Break Description of Cylinder 1 (if not 'cone') 5

Test 2 of 2

DIME Test ID: 2024-10-09-45-2
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, 3 Cylinders
Test Result Compliance:
Additional Comments When Verified:
Number of specimens 3
Average Compressive Strength (to nearest 10) 6470 lb/in^2
Cylinder Age 28 days
Break Description of Cylinder 1 (if not 'cone') 3
Break Description of Cylinder 2 (if not 'cone') 5
Break Description of Cylinder 3 (if not 'cone') 4