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Sample Record for 2025-05-15-52

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

Project Information

Project ID: 1000244 DEA: 120T9704 EFIS: 1223000009 MINOR: 12A2155 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-74,74-0.1, 2.3
Work Description: INSTALL CCTVs, CAMERAS, AND RADIOS
Location Description:
Contractor Name: PK Construction
Contractor Address: 1227 Jacaranda Place, Upland, CA 91784
Resident Engineer: Bibars Kattao Structure Rep.: Vian Ghazi

Sample Information

DIME Sample ID: 2025-05-15-52
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: 05/15/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/01/2025
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: 25-0161
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex / Irvine

Material Information

The concrete mix design number: 1610898
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: For WET & DRY condition CIDH foundation
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2025-05-15-52-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/22/2025
Date Tested: 05/22/2025
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: complies
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 3.99 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 12.5 in^2
Compressive strength (to nearest 10 psi) 4420 psi
Maximum load on cylinder 1 65090 lb
Maximum load on cylinder 2 58110 lb
Maximum load on cylinder 3 42880 lb
Compressive strength of cylinder 1 5207.2 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 4622.9 psi
Compressive strength of cylinder 3 3430.4 psi
Type of fracture pattern of cylinder 2 3
Type of fracture pattern of cylinder 3 5
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 7 days
Age of specimen in hours no data0 hours

Test 2 of 3

DIME Test ID: 2025-05-15-52-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/29/2025
Date Tested: 05/29/2025
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: complies
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 3.99 in
Average diameter of cylinder 3 3.99 in
Cross sectional area of cylinder 1 12.57 in^2
Cross sectional area of cylinder 2 12.5 in^2
Cross sectional area of cylinder 3 12.5 in^2
Compressive strength (to nearest 10 psi) 6060 psi
Maximum load on cylinder 1 80880 lb
Maximum load on cylinder 2 69110 lb
Maximum load on cylinder 3 77810 lb
Compressive strength of cylinder 1 6434.4 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 5528.8 psi
Compressive strength of cylinder 3 6224.8 psi
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 14 days
Age of specimen in hours no data0 hours

Test 3 of 3

DIME Test ID: 2025-05-15-52-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/12/2025
Date Tested: 06/12/2025
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: complies
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 3.98 in
Average diameter of cylinder 2 3.99 in
Average diameter of cylinder 3 4.00 in
Cross sectional area of cylinder 1 12.44 in^2
Cross sectional area of cylinder 2 12.5 in^2
Cross sectional area of cylinder 3 12.57 in^2
Compressive strength (to nearest 10 psi) 7100 psi
Maximum load on cylinder 1 88420 lb
Maximum load on cylinder 2 87910 lb
Maximum load on cylinder 3 90120 lb
Compressive strength of cylinder 1 7107.7 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 7032.8 psi
Compressive strength of cylinder 3 7169.5 psi
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