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Sample Record for 2025-04-15-88

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 215741 DEA: 01366004 EFIS: 0100000127 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-80.0/84.0
Work Description: Indianola Cutoff UC
Location Description: HUMBOLDT COUNTY NEAR EUREKA FROM EUREKA SLOUGH BRIDGE TO BAYSIDE CUTOFF
Contractor Name: Granite Construction Company
Contractor Address: 1324 S. State Street, Ukiah, CA 95482
Resident Engineer: Efren Banuelos Structure Rep.: Adlai Evans

Sample Information

DIME Sample ID: 2025-04-15-88
TL Number from the TL Form:
Sample Submitted By Organization: SHN Engineers & Geologists, Incorporated
Sample Organization Contact: (707) 441-8855
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 04/15/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/16/2025
The quantity of what the sample constitutes: 480 CY
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification: C9834
Structure unique identifier:
Structure name: Bridge Deck
The fabricator/manufacturer/facility name: Eureka Ready mix

Material Information

The concrete mix design number: E750FBR
The truck number from where the sample was collected: 94
The batch plant ticket number from where the sample was collected: 41673
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: Bridge Deck
From Lot No.:
Bag Lot No.:
Test results on following page(s): 7

Test Results

Test 1 of 7

DIME Test ID: 2025-04-15-88-1
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 05/19/2025
Date Tested: 04/15/2025
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample E750FBR
Volume of the measure 0.249 ft^3
Density of concrete 146.6 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content no data
Air content 1.6 %

Test 2 of 7

DIME Test ID: 2025-04-15-88-2
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 05/19/2025
Date Tested: 04/15/2025
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air content 1.6 %

Test 3 of 7

DIME Test ID: 2025-04-15-88-3
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 05/19/2025
Date Tested: 04/15/2025
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 6 inch

Test 4 of 7

DIME Test ID: 2025-04-15-88-4
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 05/19/2025
Date Tested: 04/15/2025
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 70 F

Test 5 of 7

DIME Test ID: 2025-04-15-88-5
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/19/2025
Date Tested: 04/22/2025
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Capped in accordance with? ASTM C1231 - Unbonded Elastomeric Pad Cap
Average diameter of cylinder 1 4.00 in
Compressive strength of cylinder (to nearest 10 psi) 4780 psi
Maximum load on cylinder 1 60060 lb
Type of fracture pattern of cylinder 1 5
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 7 days
Age of specimen in hours no data0 hours

Test 6 of 7

DIME Test ID: 2025-04-15-88-6
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/19/2025
Date Tested: 04/25/2025
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Capped in accordance with? ASTM C1231 - Unbonded Elastomeric Pad Cap
Average diameter of cylinder 1 4.00 in
Compressive strength of cylinder (to nearest 10 psi) 5100 psi
Maximum load on cylinder 1 64060 lb
Type of fracture pattern of cylinder 1 3
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 10 days
Age of specimen in hours no data0 hours

Test 7 of 7

DIME Test ID: 2025-04-15-88-7
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/19/2025
Date Tested: 05/13/2025
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
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
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
Cross sectional area of cylinder 3 12.57 in^2
Compressive strength (to nearest 10 psi) 5990 psi
Maximum load on cylinder 1 73820 lb
Maximum load on cylinder 2 74880 lb
Maximum load on cylinder 3 77240 lb
Type of fracture pattern of cylinder 1 3
Type of fracture pattern of cylinder 2 3
Type of fracture pattern of cylinder 3 3
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Correction factor for cylinder 3 1
Age of specimen 28 days
Age of specimen in hours no data0 hours