Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994978 DEA: 09379504 EFIS: 0919000009
QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-5709-
Work Description: CONSTRUCT BUILDING AND PLACE HMA.
Location Description: INYO COUNTY AT INDEPENDENCE AT THE INDEPENDENCE MAINTENANCE STATION AT 665 NORTH EDWARDS STREET
Contractor Name: FEC FUTURE CONTRACTORS AND ENGINEERS INC
Contractor Address: 184 Technology Drive, Irvine, CA 92618
Resident Engineer: George Elzawy Structure Rep.: Derek Armon
DIME Sample ID: 2024-12-17-56
TL Number from the TL Form: 4553
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
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: 250
A brief description of the sample: 4x8 Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: PCC-02
Structure unique identifier:
Structure name: Independence Equipment Canopy
The fabricator/manufacturer/facility name: 7/11
The concrete mix design number: 718416A6
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 2
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge Chute of Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-12-17-56-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/21/2025
Date Tested: 01/21/2025
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: PCC-02
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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Apparent mass of submerged cylinder 1
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5 lb
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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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5140 psi
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Maximum load on cylinder 1
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65080 lb
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Maximum load on cylinder 2
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63940 lb
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Maximum load on cylinder 3
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64660 lb
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Compressive strength of cylinder 1
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5180.0 psi
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Type of fracture pattern of cylinder 1
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1
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Compressive strength of cylinder 2
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5090.0 psi
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Compressive strength of cylinder 3
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5140 psi
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Type of fracture pattern of cylinder 2
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1
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Type of fracture pattern of cylinder 3
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1
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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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28 days
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Age of specimen in hours
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no data0 hours
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Serial number of delivery ticket, if available
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no data
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