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Sample Record for 2024-12-03-16

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

Project Information

Project ID: 994239 DEA: 010H0214 EFIS: 0118000107 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-169-19.0/33.0
Work Description: Cappell Walls
Location Description: HUMBOLDT COUNTY NEAR PECWAN FROM 3.4 MILES WEST OF CAPPELL CREEK BRIDGE TO 0.4 MILE EAST OF WEITCHPEC SCHOOL ROAD (Description of Work: Construct Soldier Pile Wall, Install Drainage, Place HMA (Type A))
Contractor Name: Mercer-Fraser Company
Contractor Address: PO Box 1006, Eureka, CA 95502
Resident Engineer: Efren Banuelos Structure Rep.: Dustin Helliwell

Sample Information

DIME Sample ID: 2024-12-03-16
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Boyd Road Field Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 12/03/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/23/2024
The quantity of what the sample constitutes: 102
A brief description of the sample: Type II/V Cement
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 12-04E0051
Structure name: School Wall
The fabricator/manufacturer/facility name: Mercer Fraser Willow Crk

Material Information

The concrete mix design number: MFWCCL2SLAG
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: WC107156
Concrete batch plant: Willow Creek Mercer Fraser Plant
The fabricator/manufacturer designation for the sample: Batch
A detailed description of where the material sample was collected: Concrete Chute
Where the material sample would have been placed if not sampled: Structural Concrete, Barrier Slab
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2024-12-03-16-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/17/2024
Date Tested: 12/17/2024
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: 12/17/24 14 Day Break
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) 5060 psi
Maximum load on cylinder 1 61860 lb
Maximum load on cylinder 2 65880 lb
Maximum load on cylinder 3 63170 lb
Type of fracture pattern of cylinder 1 4
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 14 days
Age of specimen in hours no data0 hours

Test 2 of 2

DIME Test ID: 2024-12-03-16-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/31/2024
Date Tested: 12/31/2024
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 12/31/24
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) 6110 psi
Maximum load on cylinder 1 72690 lb
Maximum load on cylinder 2 75810 lb
Maximum load on cylinder 3 82080 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 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
2024-12-03-16-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders12/03/202412/10/2024Dustin HelliwellCT D01 - District 1 Materials Laboratory7 Day Break 12/10/24Tom Brown