Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000416 DEA: 120S1104 EFIS: 1219000091
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-22-R0.9/R9.4
Work Description: REPLACE CONCRETE BARRIER AND MODIFY LIGHTING SYSTEM.
Location Description: ORANGE FROM BOLSA CHICA ROAD OVERCROSSING IN GARDEN GROVE TO LEWIS STREET OVERCROSSING IN ORANGE
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 2900 Bristol Street Suite D204, Costa Mesa, CA 92626
Resident Engineer: Arezo Ghiam Structure Rep.: Maheshwarlal Kapoor
DIME Sample ID: 2025-05-29-56
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: 05/29/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/30/2025
The quantity of what the sample constitutes: 6
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 25-0183
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: National / Artesia
The concrete mix design number: A59C456T10
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 114280
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: 22/39 Separation (55-0368)
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-05-29-56-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/05/2025
Date Tested: 06/05/2025
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:
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 C617 - Sulfur Mortar Cap
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Average diameter of cylinder 1
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3.99 in
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Average diameter of cylinder 2
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3.99 in
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Average diameter of cylinder 3
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3.98 in
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Cross sectional area of cylinder 1
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12.5 in^2
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Cross sectional area of cylinder 2
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12.5 in^2
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Cross sectional area of cylinder 3
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12.44 in^2
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Compressive strength (to nearest 10 psi)
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3030 psi
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Maximum load on cylinder 1
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37410 lb
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Maximum load on cylinder 2
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38150 lb
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Maximum load on cylinder 3
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37780 lb
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Compressive strength of cylinder 1
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2992.8 psi
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Type of fracture pattern of cylinder 1
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5
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Compressive strength of cylinder 2
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3052.0 psi
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Compressive strength of cylinder 3
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3037 psi
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Type of fracture pattern of cylinder 2
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5
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Type of fracture pattern of cylinder 3
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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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Correction factor for cylinder 3
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1
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Age of specimen
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7 days
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Age of specimen in hours
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no data0 hours
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