Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000634 DEA: 051R6804 EFIS: 0524000102
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-14.2
Work Description: Clear pavement, subsurface drains, construct underdrain or other pavement drainage, repair surface
Location Description:
Contractor Name: Brough Construction
Contractor Address: 634 Printz Road, Arroyo Grande, CA 93420
Resident Engineer: Luobao Cai Structure Rep.: Unknown
DIME Sample ID: 2024-12-11-24
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Sample Organization Contact: (805) 621-3616
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 12/11/2024
Date that the sample was received by the laboratory/organization performing the testing: 12/11/2024
The quantity of what the sample constitutes: 8 CY
A brief description of the sample: 1 x 4 PCC Aggregates
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CEMEX Santa Barbara
The concrete mix design number: 1629004
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 31446524
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-12-11-24-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 12/12/2024
Date Tested: 12/11/2024
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2024-12-11-24-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 12/12/2024
Date Tested: 12/11/2024
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2024-12-11-24-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/22/2025
Date Tested: 01/22/2025
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
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 C1231 - Unbonded Elastomeric Pad Cap
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Average diameter of cylinder 1
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4.00 in
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Average diameter of cylinder 2
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4.00 in
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Average diameter of cylinder 3
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4.00 in
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Cross sectional area of cylinder 1
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12.57 in^2
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Cross sectional area of cylinder 2
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12.57 in^2
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Cross sectional area of cylinder 3
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12.57 in^2
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Compressive strength (to nearest 10 psi)
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7830 psi
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Maximum load on cylinder 1
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73140 lb
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Maximum load on cylinder 2
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112520 lb
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Maximum load on cylinder 3
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109550 lb
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Compressive strength of cylinder 1
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5818.6 psi
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Type of fracture pattern of cylinder 1
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5
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Compressive strength of cylinder 2
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8951.5 psi
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Compressive strength of cylinder 3
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8715.2 psi
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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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42 days
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Age of specimen in hours
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no data0 hours
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