Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000213 DEA: 120S1904 EFIS: 1219000104
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-22-R11.6/R12.5
Work Description: AUXILIARY LANE EXTENSION.
Location Description: ORANGE COUNTY IN SANTA ANA AND ORANGE FROM 0.1 MILE WEST OF SANTIAGO CREEK TO 0.2 MILE EAST OF CAMBRIDGE STREET OVERCROSSING
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 CUSHING SUITE 200, IRVINE CA 92618
Resident Engineer: Jessica Harvey Structure Rep.: Bijan Ronagh-langroodi
DIME Sample ID: 2025-04-25-28
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 04/25/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/28/2025
The quantity of what the sample constitutes: 9
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 25-0142
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex / Orange
The concrete mix design number: 1610838
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: Unknown
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Dischard fron concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled: RW 595 Wall Stem 0+0~0+96 & 1+92~2+88
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-04-25-28-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/05/2025
Date Tested: 05/02/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
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 C617 - Sulfur Mortar Cap
|
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Average diameter of cylinder 1
|
3.99 in
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|
Average diameter of cylinder 2
|
4.00 in
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Average diameter of cylinder 3
|
3.99 in
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Cross sectional area of cylinder 1
|
12.5 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
|
12.5 in^2
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Compressive strength (to nearest 10 psi)
|
3070 psi
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Maximum load on cylinder 1
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36510 lb
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|
Maximum load on cylinder 2
|
39550 lb
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Maximum load on cylinder 3
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39330 lb
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Compressive strength of cylinder 1
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2920.8 psi
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Type of fracture pattern of cylinder 1
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4
|
|
Compressive strength of cylinder 2
|
3146.4 psi
|
|
Compressive strength of cylinder 3
|
3146.4 psi
|
|
Type of fracture pattern of cylinder 2
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4
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Type of fracture pattern of cylinder 3
|
4
|
|
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
|
1
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Correction factor for cylinder 2
|
1
|
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Correction factor for cylinder 3
|
1
|
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Age of specimen
|
7 days
|
|
Age of specimen in hours
|
no data0 hours
|
DIME Test ID: 2025-04-25-28-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/12/2025
Date Tested: 05/09/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
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 C617 - Sulfur Mortar Cap
|
|
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
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|
Cross sectional area of cylinder 3
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12.57 in^2
|
|
Compressive strength (to nearest 10 psi)
|
4480 psi
|
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Maximum load on cylinder 1
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55030 lb
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Maximum load on cylinder 2
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55510 lb
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Maximum load on cylinder 3
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58250 lb
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Compressive strength of cylinder 1
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4377.9 psi
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|
Type of fracture pattern of cylinder 1
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3
|
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Compressive strength of cylinder 2
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4416.1 psi
|
|
Compressive strength of cylinder 3
|
4634 psi
|
|
Type of fracture pattern of cylinder 2
|
3
|
|
Type of fracture pattern of cylinder 3
|
3
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|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
|
Correction factor for cylinder 1
|
1
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|
Correction factor for cylinder 2
|
1
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Correction factor for cylinder 3
|
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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DIME Test ID: 2025-04-25-28-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/27/2025
Date Tested: 05/23/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
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 C617 - Sulfur Mortar Cap
|
|
Average diameter of cylinder 1
|
3.99 in
|
|
Average diameter of cylinder 2
|
4.00 in
|
|
Average diameter of cylinder 3
|
4.00 in
|
|
Cross sectional area of cylinder 1
|
12.5 in^2
|
|
Cross sectional area of cylinder 2
|
12.57 in^2
|
|
Cross sectional area of cylinder 3
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12.57 in^2
|
|
Compressive strength (to nearest 10 psi)
|
5340 psi
|
|
Maximum load on cylinder 1
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67330 lb
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Maximum load on cylinder 2
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62920 lb
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Maximum load on cylinder 3
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70660 lb
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Compressive strength of cylinder 1
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5386.4 psi
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Type of fracture pattern of cylinder 1
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3
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Compressive strength of cylinder 2
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5005.6 psi
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|
Compressive strength of cylinder 3
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5621.3 psi
|
|
Type of fracture pattern of cylinder 2
|
3
|
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Type of fracture pattern of cylinder 3
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3
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|
Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
|
|
Correction factor for cylinder 1
|
1
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Correction factor for cylinder 2
|
1
|
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Correction factor for cylinder 3
|
1
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Age of specimen
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28 days
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Age of specimen in hours
|
no data0 hours
|
