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Sample Record for 2024-11-12-4

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

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: 2024-11-12-4
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: 11/12/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/15/2024
The quantity of what the sample constitutes: 324cy
A brief description of the sample: Concrete
From where was the sample collected: Job Site
Laboratory sample identification: C0363
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tide Water

Material Information

The concrete mix design number: FR 3/8s CIDH
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 60696
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.:

Test Results

Test 1 of 2

DIME Test ID: 2024-11-12-4-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/19/2024
Date Tested: 11/19/2024
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: 7 Day Break 11/19/24
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) 4430 psi
Maximum load on cylinder 1 55860 lb
Maximum load on cylinder 2 54400 lb
Maximum load on cylinder 3 56760 lb
Type of fracture pattern of cylinder 1 5
Type of fracture pattern of cylinder 2 5
Type of fracture pattern of cylinder 3 4
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Correction factor for cylinder 3 1
Age of specimen 7 days
Age of specimen in hours no data0 hours

Test 2 of 2

DIME Test ID: 2024-11-12-4-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/10/2024
Date Tested: 12/10/2024
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: 28 Day Break 12/10/24
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) 7000 psi
Maximum load on cylinder 1 88260 lb
Maximum load on cylinder 2 88540 lb
Maximum load on cylinder 3 87220 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Correction factor for cylinder 3 1
Age of specimen 28 days
Age of specimen in hours no data0 hours

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2024-11-12-4-3CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders11/15/202401/07/2024Leif AyresCT D01 - District 1 Materials Laboratory56 Day Break 1/7/24, only if 28 day break is less than 4000 psiTom Brown