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Sample Record for 2024-11-15-6

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Project Information

Project ID: 995028 DEA: 010H4314 EFIS: 0117000214 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-299-R11.0/R11.4
Work Description: Project Name: Korbel Wall (Description of Work: CONSTRUCT RETAINING WALL, RECONSTRUCT ROADWAY, & REPLACE CULVERT)
Location Description: HUMBOLDT COUNTY ABOUT 6 MILES EAST OF BLUE LAKE FROM NORTH FORK MAD RIVER BRIDGE TO 0.4 MILE EAST OF NORTH FORK MAD RIVER BRIDGE
Contractor Name: MCCULLOUGH CONSTRUCTION INC
Contractor Address: 57 Aldergrove Road, Arcata, CA 95521
Resident Engineer: Brenda Howell Structure Rep.: Dustin Helliwell

Sample Information

DIME Sample ID: 2024-11-15-6
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Acceptance
Type of Material: Concrete
Sample Taken Date: 11/15/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/16/2024
The quantity of what the sample constitutes: 40 CY
A brief description of the sample: Type II-V Cement
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 12-0E0058
Structure name: Korbel Wall
The fabricator/manufacturer/facility name: Eureka Ready mix

Material Information

The concrete mix design number: E400F
The truck number from where the sample was collected: Load 1 Truck 95
The batch plant ticket number from where the sample was collected: 40249
Concrete batch plant: Arcata Eureka Ready Mix
The fabricator/manufacturer designation for the sample: Batch
A detailed description of where the material sample was collected: Concrete Truck Chute
Where the material sample would have been placed if not sampled: Waler 5
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 5

DIME Test ID: 2024-11-15-6-1
Test Method: CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement Concrete
Verified Date: 11/16/2024
Date Tested: 11/16/2024
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:
Test Result Compliance:
Additional Comments When Verified:
Temperature of the freshly mixed concrete 61 F

Test 2 of 5

DIME Test ID: 2024-11-15-6-2
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 11/16/2024
Date Tested: 11/16/2024
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:
Test Result Compliance:
Additional Comments When Verified:
Slump 7.25 inch

Test 3 of 5

DIME Test ID: 2024-11-15-6-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/18/2024
Date Tested: 11/18/2024
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: 3 Day Break 11/18/24
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) 2060 psi
Maximum load on cylinder 1 25460 lb
Maximum load on cylinder 2 26620 lb
Maximum load on cylinder 3 25630 lb
Type of fracture pattern of cylinder 1 5
Type of fracture pattern of cylinder 2 5
Type of fracture pattern of cylinder 3 5
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 3 days
Age of specimen in hours no data0 hours

Test 4 of 5

DIME Test ID: 2024-11-15-6-4
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/25/2024
Date Tested: 11/25/2024
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 Day Break 11/25/24
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) 3560 psi
Maximum load on cylinder 1 45250 lb
Maximum load on cylinder 2 45710 lb
Maximum load on cylinder 3 43460 lb
Type of fracture pattern of cylinder 1 5
Type of fracture pattern of cylinder 2 5
Type of fracture pattern of cylinder 3 5
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 10 days
Age of specimen in hours no data0 hours

Test 5 of 5

DIME Test ID: 2024-11-15-6-5
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/13/2024
Date Tested: 12/13/2024
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 12/13/24
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) 4970 psi
Maximum load on cylinder 1 62120 lb
Maximum load on cylinder 2 64580 lb
Maximum load on cylinder 3 60880 lb
Type of fracture pattern of cylinder 1 5
Type of fracture pattern of cylinder 2 5
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 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