Sample Record for 2025-05-08-7
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994116 DEA: 010J4104 EFIS: 0119000025
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-299-30.7/33.4
Work Description: Project Name: HUM-299 Curve Improvement
Location Description: HUMBOLDT COUNTY NEAR WILLOW CREEK FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 0.1 MILE EAST OF EAST FORK WILLOW CREEK BRIDGE
Contractor Name: McCullough Construction Inc.
Contractor Address: 57 Alder Grove Road, Arcata, CA 95521
Resident Engineer: Ethan Retherford Structure Rep.: Laura Cangas
Sample Information
DIME Sample ID: 2025-05-08-7
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 05/08/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/09/2025
The quantity of what the sample constitutes: 2 CY
A brief description of the sample: TYPE II/V CEMENT
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 12-04E0056
Structure name: RW C
The fabricator/manufacturer/facility name: Eureka Ready Mix
Material Information
The concrete mix design number: E400F
The truck number from where the sample was collected: 98
The batch plant ticket number from where the sample was collected: 42062
Concrete batch plant: Arcata Eureka Ready Mix
The fabricator/manufacturer designation for the sample: Batch
A detailed description of where the material sample was collected: CHUTE FROM TRUCK
Where the material sample would have been placed if not sampled: RW C CIP lagging
From Lot No.:
Bag Lot No.:
Test Results
Test 1 of 4
DIME Test ID: 2025-05-08-7-1
Test Method: CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement Concrete
Verified Date: 05/08/2025
Date Tested: 05/08/2025
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Temperature of the freshly mixed concrete
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72 F
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Test 2 of 4
DIME Test ID: 2025-05-08-7-2
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 05/08/2025
Date Tested: 05/08/2025
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Test 3 of 4
DIME Test ID: 2025-05-08-7-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/05/2025
Date Tested: 06/05/2025
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: 28 Day Break 6/5/25
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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4850 psi
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Maximum load on cylinder 1
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60360 lb
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Maximum load on cylinder 2
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60530 lb
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Maximum load on cylinder 3
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62080 lb
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Type of fracture pattern of cylinder 1
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1
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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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28 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 4 of 4
DIME Test ID: 2025-05-08-7-5
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/19/2025
Date Tested: 06/19/2025
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Number of specimens
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3
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Average Compressive Strength (to nearest 10)
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5000 lb/in^2
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Cylinder Age
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42 days
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Break Description of Cylinder 1 (if not 'cone')
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5
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Break Description of Cylinder 2 (if not 'cone')
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5
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Break Description of Cylinder 3 (if not 'cone')
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5
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Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2025-05-08-7-4 | ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | 05/08/2025 | 06/19/2025 | Laura Cangas | CT D01 - District 1 Materials Laboratory | If the 28-day break was > 5,000 psi, no need to break the remaining 3 cylinders | Jamie Kelley |
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