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Sample Record for 2025-04-30-21

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

Project Information

Project ID: 1000028 DEA: 081J8404 EFIS: 0818000121 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40,58,62,95-Var
Work Description: INSTALL CMS SYSTEM, FURNISH SIGN STRUCTURE, AND SIGN FOUNDATION.
Location Description: SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 CONSTRUCTION CIRCLE WEST, IRVINE, CA 92606
Resident Engineer: Khoa Nguyen Structure Rep.: Alex Naime

Sample Information

DIME Sample ID: 2025-04-30-21
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 04/30/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/01/2025
The quantity of what the sample constitutes: 9
A brief description of the sample: 4x8
From where was the sample collected: Job Site
Laboratory sample identification: 1076-30
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: hi grade

Material Information

The concrete mix design number: *
The truck number from where the sample was collected: 1
The batch plant ticket number from where the sample was collected: 34003069
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: job
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2025-04-30-21-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/14/2025
Date Tested: 05/14/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
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 no data0 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) 4260 psi
Maximum load on cylinder 1 55310 lb
Maximum load on cylinder 2 52680 lb
Maximum load on cylinder 3 52850 lb
Compressive strength of cylinder 1 4400.0 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 4190.0 psi
Compressive strength of cylinder 3 4200 psi
Type of fracture pattern of cylinder 2 1
Type of fracture pattern of cylinder 3 1
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 data0 hours
Serial number of delivery ticket, if available no data

Test 2 of 2

DIME Test ID: 2025-04-30-21-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 08/05/2025
Date Tested: 05/28/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
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 no data0 lb
Average diameter of cylinder 1 4.01 in
Average diameter of cylinder 2 4.01 in
Average diameter of cylinder 3 4.01 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 12.63 in^2
Compressive strength (to nearest 10 psi) 4950 psi
Maximum load on cylinder 1 62820 lb
Maximum load on cylinder 2 61560 lb
Maximum load on cylinder 3 63360 lb
Compressive strength of cylinder 1 4970.0 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 4870.0 psi
Compressive strength of cylinder 3 5020 psi
Type of fracture pattern of cylinder 2 5
Type of fracture pattern of cylinder 3 1
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 no data0 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data