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Sample Record for 2025-03-30-1

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

Project Information

Project ID: 994358 DEA: 033J3304 EFIS: 0322000251 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-12-0/0.5
Work Description: MMBN Project. Replace backup drive system, replace lift span deck, install hydraulic barrier system and new generator, replace electrical control system, install new traffic gates and elevators, traffic control,
Location Description:
Contractor Name: Golden State Bridge, Inc.
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Ephrem Tweldeberham Structure Rep.: Rusty D'Anna

Sample Information

DIME Sample ID: 2025-03-30-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 03/30/2025
Date that the sample was received by the laboratory/organization performing the testing: 03/30/2025
The quantity of what the sample constitutes: 19 CY
A brief description of the sample: 15 - 4x8 and 9 - 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Rio Vista Bridge
The fabricator/manufacturer/facility name: Precision Concrete Materials

Material Information

The concrete mix design number: 90479AFP LWA-LWF-A2
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 17839
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: concrete sample from wheelbarrow
Where the material sample would have been placed if not sampled: bridge deck pour 1A
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 4

DIME Test ID: 2025-03-30-1-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/07/2025
Date Tested: 04/07/2025
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
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.01 in
Average diameter of cylinder 3 4.01 in
Cross sectional area of cylinder 1 12.57 in^2
Cross sectional area of cylinder 2 12.63 in^2
Cross sectional area of cylinder 3 12.63 in^2
Compressive strength (to nearest 10 psi) 5660 psi
Maximum load on cylinder 1 72433 lb
Maximum load on cylinder 2 72780 lb
Maximum load on cylinder 3 68835 lb
Compressive strength of cylinder 1 5762.4 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 5762.5 psi
Compressive strength of cylinder 3 5450.1 psi
Type of fracture pattern of cylinder 2 3
Type of fracture pattern of cylinder 3 3
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 8 days
Age of specimen in hours no data0 hours

Test 2 of 4

DIME Test ID: 2025-03-30-1-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/13/2025
Date Tested: 04/13/2025
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
Average diameter of cylinder 1 4.01 in
Average diameter of cylinder 2 4.02 in
Average diameter of cylinder 3 4.02 in
Cross sectional area of cylinder 1 12.63 in^2
Cross sectional area of cylinder 2 12.69 in^2
Cross sectional area of cylinder 3 12.69 in^2
Compressive strength (to nearest 10 psi) 5560 psi
Maximum load on cylinder 1 71005 lb
Maximum load on cylinder 2 71295 lb
Maximum load on cylinder 3 68960 lb
Compressive strength of cylinder 1 5621.9 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 5618.2 psi
Compressive strength of cylinder 3 5434.2 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 14 days
Age of specimen in hours no data

Test 3 of 4

DIME Test ID: 2025-03-30-1-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/21/2025
Date Tested: 04/21/2025
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
Average diameter of cylinder 1 4.01 in
Average diameter of cylinder 2 4.01 in
Average diameter of cylinder 3 4.02 in
Cross sectional area of cylinder 1 12.63 in^2
Cross sectional area of cylinder 2 12.63 in^2
Cross sectional area of cylinder 3 12.69 in^2
Compressive strength (to nearest 10 psi) 5900 psi
Maximum load on cylinder 1 72305 lb
Maximum load on cylinder 2 74930 lb
Maximum load on cylinder 3 76585 lb
Compressive strength of cylinder 1 5724.9 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 5932.7 psi
Compressive strength of cylinder 3 6035.1 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 22 days
Age of specimen in hours no data

Test 4 of 4

DIME Test ID: 2025-03-30-1-4
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/27/2025
Date Tested: 04/27/2025
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
Average diameter of cylinder 1 4.01 in
Average diameter of cylinder 2 4.01 in
Average diameter of cylinder 3 4.02 in
Cross sectional area of cylinder 1 12.63 in^2
Cross sectional area of cylinder 2 12.63 in^2
Cross sectional area of cylinder 3 12.69 in^2
Compressive strength (to nearest 10 psi) 5450 psi
Maximum load on cylinder 1 71790 lb
Maximum load on cylinder 2 70135 lb
Maximum load on cylinder 3 64865 lb
Compressive strength of cylinder 1 5684.1 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 5553.0 psi
Compressive strength of cylinder 3 5111.5 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 28 days
Age of specimen in hours no data