Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 99999 DEA: 0322222
QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown
DIME Sample ID: 2024-11-12-16
TL Number from the TL Form:
Sample Submitted By Organization: ZZCT DIME Development Laboratory B - Bellflower - External
Sample Organization Contact:
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 11/12/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/13/2024
The quantity of what the sample constitutes: 4 concrete cylinders
A brief description of the sample: concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex
The concrete mix design number: 00000
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 12345
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete from wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-11-12-16-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/13/2024
Date Tested: 11/13/2024
Submitted By Organization: ZZCT DIME Development Laboratory B - Bellflower - External
Organization Address: 123654 Norwalk Bouldevard,
Organization City: Bellflower
Organization State: CA
Organization Zipcode: 90725
Organization Email:
Organization Phone:
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Unit system used?
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US Units
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Number of specimens
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3
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Test performed
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With no density determined
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Capped in accordance with?
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ASTM C617 - Sulfur Mortar Cap
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Apparent mass of submerged cylinder 1
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2 lb
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Average diameter of cylinder 1
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0.02 in
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Average diameter of cylinder 2
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0.03 in
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Average diameter of cylinder 3
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0.02 in
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Cross sectional area of cylinder 1
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8 in^2
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Cross sectional area of cylinder 2
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8 in^2
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Cross sectional area of cylinder 3
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8 in^2
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Compressive strength (to nearest 10 psi)
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5 psi
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Maximum load on cylinder 1
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4 lb
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Maximum load on cylinder 2
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5 lb
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Maximum load on cylinder 3
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3 lb
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Type of fracture pattern of cylinder 1
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2
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Type of fracture pattern of cylinder 2
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2
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Type of fracture pattern of cylinder 3
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2
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Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
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Correction factor for cylinder 1
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1
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Correction factor for cylinder 2
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1
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Correction factor for cylinder 3
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1
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Age of specimen
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7 days
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Age of specimen in hours
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no data0 hours
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Serial number of delivery ticket, if available
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no data
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