Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994650 DEA: 070W4704 EFIS: 0722000073
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-33,101-Var
Work Description: PLACE PIPELINER, CLEAN, INSPECT AND PREPARE CULVERTS.
Location Description: VENTURA COUNTY AT VARIOUS LOCATIONS
Contractor Name: GBA ENGINEERING
Contractor Address: Unknown
Resident Engineer: Joseph Tehrani Structure Rep.: Unknown
DIME Sample ID: 2024-12-17-51
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Concrete
Sample Taken Date: 12/17/2024
Date that the sample was received by the laboratory/organization performing the testing: 12/18/2024
The quantity of what the sample constitutes: 10 Cy
A brief description of the sample: Concrete
From where was the sample collected: Job Site
Laboratory sample identification: 24-3927
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Associate Ready mixed Concrete
The concrete mix design number: SL705SC30
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 7248494
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Wheel Barrow from Chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-12-17-51-1
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 D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance:
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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2
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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 C617 - Sulfur Mortar Cap
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Average diameter of cylinder 1
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6.00 in
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Average diameter of cylinder 2
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6.00 in
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Cross sectional area of cylinder 1
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28.27 in^2
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Cross sectional area of cylinder 2
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28.27 in^2
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Compressive strength (to nearest 10 psi)
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4430 psi
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Maximum load on cylinder 1
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124943 lb
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Maximum load on cylinder 2
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125491 lb
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Type of fracture pattern of cylinder 1
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5
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Type of fracture pattern of cylinder 2
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5
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Comment on any defect in either specimen or caps (Max 250 Characters)
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None
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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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Age of specimen
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7 days
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Age of specimen in hours
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no data0 hours
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