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:
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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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no data0 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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4260 psi
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Maximum load on cylinder 1
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55310 lb
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Maximum load on cylinder 2
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52680 lb
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Maximum load on cylinder 3
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52850 lb
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Compressive strength of cylinder 1
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4400.0 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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4190.0 psi
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Compressive strength of cylinder 3
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4200 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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14 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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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
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no data0 lb
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Average diameter of cylinder 1
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4.01 in
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Average diameter of cylinder 2
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4.01 in
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Average diameter of cylinder 3
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4.01 in
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Cross sectional area of cylinder 1
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12.63 in^2
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Cross sectional area of cylinder 2
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12.63 in^2
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Cross sectional area of cylinder 3
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12.63 in^2
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Compressive strength (to nearest 10 psi)
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4950 psi
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Maximum load on cylinder 1
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62820 lb
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Maximum load on cylinder 2
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61560 lb
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Maximum load on cylinder 3
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63360 lb
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Compressive strength of cylinder 1
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4970.0 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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4870.0 psi
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Compressive strength of cylinder 3
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5020 psi
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Type of fracture pattern of cylinder 2
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5
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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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no data0 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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