Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000199 DEA: 050N7054 EFIS: 0518000111
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-10.4/11.1
Work Description: South Coast 101 HOV Lanes Project 4E South- Santa Barbara
Location Description:
Contractor Name: Granite Construction Company
Contractor Address: PO Box 6744, Santa Barbara, CA 93160
Resident Engineer: Tristan Gebhart Structure Rep.: Gary Cavafian
DIME Sample ID: 2025-05-12-20
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Sample Organization Contact: (805) 621-3616
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 05/12/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/12/2025
The quantity of what the sample constitutes: 475
A brief description of the sample: 1 x 4 PCC Aggregate
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Padaro Plant
The concrete mix design number: 231R
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 17411
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-05-12-20-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 05/13/2025
Date Tested: 05/12/2025
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2025-05-12-20-2
Test Method: CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete
Verified Date: 05/13/2025
Date Tested: 05/12/2025
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Ball penetration in freshly mixed concrete (average)
|
1.75 inch
|
DIME Test ID: 2025-05-12-20-3
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 05/13/2025
Date Tested: 05/12/2025
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2025-05-12-20-4
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 07/24/2025
Date Tested: 05/22/2025
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
|
Number of specimens
|
2
|
|
Unit system used?
|
US Units
|
|
Does the testing machine measure load or stress on the beam specimen?
|
Load
|
|
Fracture initiates in the tension surface
|
Within the Middle Third of the Span Length
|
|
Is a beam dimensional correction factor used?
|
Yes
|
|
Modulus of rupture average
|
505 psi
|
|
Modulus of rupture
|
520 psi
|
|
Modulus of rupture 2
|
490 psi
|
|
Age of specimen
|
10 days
|
DIME Test ID: 2025-05-12-20-5
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 07/24/2025
Date Tested: 05/27/2025
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Number of specimens
|
2
|
|
Unit system used?
|
US Units
|
|
Does the testing machine measure load or stress on the beam specimen?
|
Load
|
|
Fracture initiates in the tension surface
|
Within the Middle Third of the Span Length
|
|
Is a beam dimensional correction factor used?
|
Yes
|
|
Modulus of rupture average
|
565 psi
|
|
Modulus of rupture
|
565 psi
|
|
Modulus of rupture 2
|
560 psi
|
|
Age of specimen
|
15 days
|
