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: 2025-01-03-36
TL Number from the TL Form:
Sample Submitted By Organization: Sequoia Consultants
Sample Organization Contact: (714) 974-6316
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 01/03/2025
Date that the sample was received by the laboratory/organization performing the testing: 01/04/2025
The quantity of what the sample constitutes: 2 cylinders
A brief description of the sample: structural concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CEMEX ORANGE PLANT
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: 31467235
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: RW 595 STA 12+05 1ST LIFT
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-01-03-36-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/16/2025
Date Tested: 01/31/2025
Submitted By Organization: Sequoia Consultants
Organization Address: 361 West Grove Avenue,
Organization City: Orange
Organization State: CA
Organization Zipcode: 92865
Organization Email: sranjan@sequoiacon.com
Organization Phone: 1 (714) 974-6316
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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2
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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 C617 - Sulfur Mortar Cap
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Average diameter of cylinder 1
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6.00 in
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Average diameter of cylinder 2
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6.00 in
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Cross sectional area of cylinder 1
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28.27 in^2
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Cross sectional area of cylinder 2
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28.27 in^2
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Compressive strength (to nearest 10 psi)
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5820 psi
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Maximum load on cylinder 1
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161490 lb
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Maximum load on cylinder 2
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167560 lb
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Type of fracture pattern of cylinder 1
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5
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Type of fracture pattern of cylinder 2
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5
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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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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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