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Sample Record for 2025-01-21-36

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Project Information

Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676 QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-R10.4/30.2
Work Description: Highway widening, overhead signs, and electronic toll system.
Location Description: In Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing.
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Justen Tatum Structure Rep.: Kelsey Littell

Sample Information

DIME Sample ID: 2025-01-21-36
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Sample Organization Contact: 510-714-7055
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 01/21/2025
Date that the sample was received by the laboratory/organization performing the testing: 02/05/2025
The quantity of what the sample constitutes: 3 cylinders
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Soundwall 2 16" piles
The fabricator/manufacturer/facility name: Cemex Fairfield

Material Information

The concrete mix design number: 1615674
The truck number from where the sample was collected: 10069145
The batch plant ticket number from where the sample was collected: 31488213
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2025-01-21-36-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 02/05/2025
Date Tested: 02/05/2025
Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: alejandro.lara@dot.ca.gov
Organization Phone: (510) 714-7055
General Comments for this Test: test performed by RMA
Test Result Compliance:
Additional Comments When Verified:
Temperature 59 F

Test 2 of 3

DIME Test ID: 2025-01-21-36-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 02/05/2025
Date Tested: 01/21/2025
Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: alejandro.lara@dot.ca.gov
Organization Phone: (510) 714-7055
General Comments for this Test: test performed by RMA
Test Result Compliance:
Additional Comments When Verified:
Slump 4 inch

Test 3 of 3

DIME Test ID: 2025-01-21-36-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 03/24/2025
Date Tested: 03/24/2025
Submitted By Organization: CT HQ - Vallejo Field Laboratory
Organization Address: 690 Walnut,
Organization City: vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: yannick.aranas@dot.ca.gov
Organization Phone: (916) 639-4315
General Comments for this Test:
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
Apparent mass of submerged cylinder 1 9 lb
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) 5100 psi
Maximum load on cylinder 1 65005 lb
Maximum load on cylinder 2 53140 lb
Maximum load on cylinder 3 74045 lb
Compressive strength of cylinder 1 5170.0 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 4230.0 psi
Compressive strength of cylinder 3 5890 psi
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 62 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data