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Sample Record for 2025-05-07-101

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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: 2025-05-07-101
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: 05/07/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/08/2025
The quantity of what the sample constitutes: 4 CY
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification: C9905
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Eureka Ready mix

Material Information

The concrete mix design number: CE675DH
The truck number from where the sample was collected: 99
The batch plant ticket number from where the sample was collected: 42052
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: sampled from revolving drum truck into a wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2025-05-07-101-1
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 06/10/2025
Date Tested: 06/10/2025
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 5 inch

Test 2 of 4

DIME Test ID: 2025-05-07-101-2
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 06/10/2025
Date Tested: 05/07/2025
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 66 F

Test 3 of 4

DIME Test ID: 2025-05-07-101-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/10/2025
Date Tested: 06/10/2025
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) 3200 psi
Maximum load on cylinder 1 40200 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 7 days
Age of specimen in hours no data0 hours

Test 4 of 4

DIME Test ID: 2025-05-07-101-4
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/10/2025
Date Tested: 06/04/2025
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 4.01 in
Average diameter of cylinder 2 4.01 in
Average diameter of cylinder 3 4.01 in
Cross sectional area of cylinder 1 12.63 in^2
Cross sectional area of cylinder 2 12.63 in^2
Cross sectional area of cylinder 3 12.63 in^2
Compressive strength (to nearest 10 psi) 5020 psi
Maximum load on cylinder 1 61000 lb
Maximum load on cylinder 2 64680 lb
Maximum load on cylinder 3 64500 lb
Type of fracture pattern of cylinder 1 5
Type of fracture pattern of cylinder 2 5
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 28 days
Age of specimen in hours no data0 hours