Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994116 DEA: 010J4104 EFIS: 0119000025
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-299-30.7/33.4
Work Description: Project Name: HUM-299 Curve Improvement
Location Description: HUMBOLDT COUNTY NEAR WILLOW CREEK FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 0.1 MILE EAST OF EAST FORK WILLOW CREEK BRIDGE
Contractor Name: McCullough Construction Inc.
Contractor Address: 57 Alder Grove Road, Arcata, CA 95521
Resident Engineer: Ethan Retherford Structure Rep.: Laura Cangas
DIME Sample ID: 2024-09-25-115
TL Number from the TL Form:
Sample Submitted By Organization: McCullough Construction Incorporated
Sample Organization Contact: (707) 825-1014
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 09/25/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/26/2024
The quantity of what the sample constitutes: 65 CY
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: C9464
Structure unique identifier:
Structure name: Wall A Waler
The fabricator/manufacturer/facility name: Eureka Ready mix
The concrete mix design number: E675WRF
The truck number from where the sample was collected: 93
The batch plant ticket number from where the sample was collected: 33841
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete sample from wheelbarrow
Where the material sample would have been placed if not sampled: Wall A waler
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-09-25-115-1
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 12/24/2024
Date Tested: 09/25/2024
Submitted By Organization: McCullough Construction Incorporated
Organization Address: 57 Aldergrove Road,
Organization City: Arcata
Organization State: CA
Organization Zipcode: 95521
Organization Email: reception@mcculloughconstructioninc.com
Organization Phone: (707) 825-1014
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2024-09-25-115-2
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 12/24/2024
Date Tested: 09/25/2024
Submitted By Organization: McCullough Construction Incorporated
Organization Address: 57 Aldergrove Road,
Organization City: Arcata
Organization State: CA
Organization Zipcode: 95521
Organization Email: reception@mcculloughconstructioninc.com
Organization Phone: (707) 825-1014
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2024-09-25-115-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/24/2024
Date Tested: 10/01/2024
Submitted By Organization: McCullough Construction Incorporated
Organization Address: 57 Aldergrove Road,
Organization City: Arcata
Organization State: CA
Organization Zipcode: 95521
Organization Email: reception@mcculloughconstructioninc.com
Organization Phone: (707) 825-1014
General Comments for this Test: Performed ASTM C39
Test Result Compliance:
Additional Comments When Verified:
|
Unit system used?
|
US Units
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|
Number of specimens
|
3
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|
Test performed
|
With no density determined
|
|
Capped in accordance with?
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ASTM C1231 - Unbonded Elastomeric Pad Cap
|
|
Average diameter of cylinder 1
|
4.00 in
|
|
Average diameter of cylinder 2
|
4.00 in
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|
Average diameter of cylinder 3
|
4.00 in
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|
Cross sectional area of cylinder 1
|
12.57 in^2
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Cross sectional area of cylinder 2
|
12.57 in^2
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|
Cross sectional area of cylinder 3
|
12.57 in^2
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Compressive strength (to nearest 10 psi)
|
3200 psi
|
|
Maximum load on cylinder 1
|
39620 lb
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Maximum load on cylinder 2
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41400 lb
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Maximum load on cylinder 3
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39420 lb
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Type of fracture pattern of cylinder 1
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3
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Type of fracture pattern of cylinder 2
|
5
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Type of fracture pattern of cylinder 3
|
3
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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
|
6 days
|
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Age of specimen in hours
|
no data0 hours
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DIME Test ID: 2024-09-25-115-4
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/24/2024
Date Tested: 10/23/2024
Submitted By Organization: McCullough Construction Incorporated
Organization Address: 57 Aldergrove Road,
Organization City: Arcata
Organization State: CA
Organization Zipcode: 95521
Organization Email: reception@mcculloughconstructioninc.com
Organization Phone: (707) 825-1014
General Comments for this Test: Performed ASTM C39
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
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|
Compressive strength (to nearest 10 psi)
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4260 psi
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Maximum load on cylinder 1
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55200 lb
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Maximum load on cylinder 2
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52260 lb
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Maximum load on cylinder 3
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53200 lb
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Type of fracture pattern of cylinder 1
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3
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Type of fracture pattern of cylinder 2
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5
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Type of fracture pattern of cylinder 3
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3
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|
Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
|
|
Correction factor for cylinder 1
|
1
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|
Correction factor for cylinder 2
|
1
|
|
Correction factor for cylinder 3
|
1
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Age of specimen
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28 days
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Age of specimen in hours
|
no data0 hours
|
DIME Test ID: 2024-09-25-115-5
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 12/24/2024
Date Tested: 09/25/2024
Submitted By Organization: McCullough Construction Incorporated
Organization Address: 57 Aldergrove Road,
Organization City: Arcata
Organization State: CA
Organization Zipcode: 95521
Organization Email: reception@mcculloughconstructioninc.com
Organization Phone: (707) 825-1014
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified: