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Sample Record for 2024-09-27-70

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 994378 DEA: 040K6304 EFIS: 0416000111 QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29-16.4/19.0
Work Description: BRIDGE RAIL REPLACEMENT AND SHOULDER WIDENING.
Location Description: NAPA COUNTY NEAR YOUNTVILLE AT VARIOUS LOCATIONS FROM 0.1 MILE SOUTH OF DRY CREEK BRIDGE TO 0.1 MILE NORTH OF CALIFORNIA DRIVE UNDERCROSSIG
Contractor Name: GORDON N. BALL, INC.
Contractor Address: 333 Camile Avenue, Alamo, CA 94507
Resident Engineer: Danilo Patenia Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-09-27-70
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Sample Organization Contact: 510-714-7055
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/27/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/16/2024
The quantity of what the sample constitutes: 16 yd
A brief description of the sample: Approach Slab NB
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 21-0051
Structure name: Perfume Creek Bridge
The fabricator/manufacturer/facility name: Shamrock Napa

Material Information

The concrete mix design number: D101C5E1
The truck number from where the sample was collected: 2436
The batch plant ticket number from where the sample was collected: 693817
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Approach Slab NB
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2024-09-27-70-2
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: alejandro.lara@dot.ca.gov
Organization Phone: (510) 714-7055
Data has not been verified.

Test 2 of 2

DIME Test ID: 2024-09-27-70-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/29/2024
Date Tested: 10/28/2024
Submitted By Organization: CT HQ - Vallejo Field Laboratory
Organization Address: 690 Walnut,
Organization City: vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: yannick.aranas@dot.ca.gov
Organization Phone: (916) 639-4315
General Comments for this Test:
Test Result Compliance:
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
Apparent mass of submerged cylinder 1 1 lb
Average diameter of cylinder 1 4.06 in
Average diameter of cylinder 2 4.00 in
Average diameter of cylinder 3 4.08 in
Cross sectional area of cylinder 1 12.95 in^2
Cross sectional area of cylinder 2 12.57 in^2
Cross sectional area of cylinder 3 13.07 in^2
Compressive strength (to nearest 10 psi) 5070 psi
Maximum load on cylinder 1 65591 lb
Maximum load on cylinder 2 69323 lb
Maximum load on cylinder 3 62670 lb
Compressive strength of cylinder 1 4960.0 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 5460.0 psi
Compressive strength of cylinder 3 4790 psi
Type of fracture pattern of cylinder 2 3
Type of fracture pattern of cylinder 3 3
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 0.98
Correction factor for cylinder 2 0.99
Correction factor for cylinder 3 1
Age of specimen 31 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2024-09-27-70-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens10/16/202410/25/2024Amal MamloukCT D04 - Fairfield Construction Field Office 59-545