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Sample Record for 2024-12-16-11

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

Project Information

Project ID: 1000696 DEA: 061H3304 EFIS: 0625000036 QA Service Level: 1
DIST-CO-RTE-PM: 06---
Work Description:
Location Description:
Contractor Name: Chapco Construction
Contractor Address: 6000 Mortono Street, Sacramento, CA 95828
Resident Engineer: Jesse Carpenter Structure Rep.: Martin Garcia

Sample Information

DIME Sample ID: 2024-12-16-11
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 12/16/2024
Date that the sample was received by the laboratory/organization performing the testing: 12/17/2024
The quantity of what the sample constitutes: 300 CY
A brief description of the sample: Girder Repair
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 42-0171
Structure name: Tuolumne St OC
The fabricator/manufacturer/facility name: Outback Materials

Material Information

The concrete mix design number: 80T3G36
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 38690
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: from mix truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2024-12-16-11-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/20/2024
Date Tested: 12/20/2024
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 1352 W. Olive Ave,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93728
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
General Comments for this Test: Required Strenght 3600 psi
Test Result Compliance: complies
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) 4750 psi
Maximum load on cylinder 1 56740 lb
Maximum load on cylinder 2 61520 lb
Maximum load on cylinder 3 61040 lb
Compressive strength of cylinder 1 4513.9 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 4894.2 psi
Compressive strength of cylinder 3 4856 psi
Type of fracture pattern of cylinder 2 2
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 4 days
Age of specimen in hours no data0 hours

Test 2 of 3

DIME Test ID: 2024-12-16-11-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/23/2024
Date Tested: 12/23/2024
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 1352 W. Olive Ave,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93728
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
General Comments for this Test: Required strenght 3600 psi
Test Result Compliance: complies
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) 5800 psi
Maximum load on cylinder 1 69880 lb
Maximum load on cylinder 2 74450 lb
Maximum load on cylinder 3 74540 lb
Compressive strength of cylinder 1 5559.3 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 5922.8 psi
Compressive strength of cylinder 3 5930 psi
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 2
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 7 days
Age of specimen in hours no data0 hours

Test 3 of 3

DIME Test ID: 2024-12-16-11-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 01/14/2025
Date Tested: 01/14/2025
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 1352 W. Olive Ave,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93728
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar 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) 7640 psi
Maximum load on cylinder 1 98300 lb
Maximum load on cylinder 2 93790 lb
Maximum load on cylinder 3 96060 lb
Compressive strength of cylinder 1 7820.2 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 7461.4 psi
Compressive strength of cylinder 3 7642 psi
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 2
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 29 days
Age of specimen in hours no data0 hours