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Sample Record for 2024-10-28-26

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

Project Information

Project ID: 994376 DEA: 044J4604 EFIS: 0415000351 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-116-11.8/R12.2
Work Description: REPLACE CURB RAMPS, SIDEWALK, DRIVEWAY, LIGHTING, & SIGNAL.
Location Description: SONOMA COUNTY AT GUERNEVILLE FROM BROOKSIDE LANE TO OLD RIVER ROAD
Contractor Name: CALIFORNIA HIGHWAY CONSTRUCTION GROUP, INC.
Contractor Address: 1647 Willow Pass Road #150, Concord, CA 94520
Resident Engineer: Leonard Brajnikoff Structure Rep.: Alireza "Ali" Jamalipour

Sample Information

DIME Sample ID: 2024-10-28-26
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3672 - Santa Rosa
Sample Organization Contact: (510) 774-6009
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/28/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/29/2024
The quantity of what the sample constitutes: 31 CY
A brief description of the sample: Concrete for Barriers
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shamrock Materials Inc

Material Information

The concrete mix design number: D20115E1
The truck number from where the sample was collected: 2
The batch plant ticket number from where the sample was collected: 713489
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete collected from the back of truck.
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: 2024-10-28-26-1
Test Method: ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: CT SC - 3672 - Santa Rosa
Organization Address: 4030 Occidental, Building B,
Organization City: Santa Rosa
Organization State: CA
Organization Zipcode: 95401
Organization Email: james.cook@dot.ca.gov
Organization Phone: (707) 974-2571
Data has not been verified.

Test 2 of 2

DIME Test ID: 2024-10-28-26-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/25/2024
Date Tested: 11/25/2024
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
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) 6090 psi
Maximum load on cylinder 1 77368 lb
Maximum load on cylinder 2 76488 lb
Maximum load on cylinder 3 78060 lb
Compressive strength of cylinder 1 6093.4 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 6024.1 psi
Compressive strength of cylinder 3 6147.9 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 0.99
Correction factor for cylinder 2 0.99
Correction factor for cylinder 3 0.99
Age of specimen 28 days
Age of specimen in hours no data