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Sample Record for 2025-06-19-32

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

Project Information

Project ID: 1001009 DEA: 043X0504 EFIS: 0425000193 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-116-10.4
Work Description: Apply traffic control systems, remove dirt and debris from slide, install RSP, drainage, erosion control, and reestablish MGS System.
Location Description: In Sonoma County on State Route 116 at PM 10.4 near Montesano.
Contractor Name: Piazza Construction (James Piazza)
Contractor Address: P.O. Box 573, Penngrove, CA 94951
Resident Engineer: Lenard Brajnikoff Structure Rep.: Nick Abuhamdieh

Sample Information

DIME Sample ID: 2025-06-19-32
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3672 - Santa Rosa
Sample Organization Contact: (510) 774-6009
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 06/19/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/19/2025
The quantity of what the sample constitutes: 17CY
A brief description of the sample: Wheeler cap
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Canyon Rock

Material Information

The concrete mix design number: 72105003R
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 1727585
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete from wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 4

DIME Test ID: 2025-06-19-32-3
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Submitted By Organization: CT SC - 3672 - Santa Rosa
Organization Address: 4030 Occidental, Building B,
Organization City: Santa Rosa
Organization State: CA
Organization Zipcode: 95401
Organization Email: james.cook@dot.ca.gov
Organization Phone: (707) 974-2571
Data has not been verified.

Test 2 of 4

DIME Test ID: 2025-06-19-32-4
Test Method: ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: CT SC - 3672 - Santa Rosa
Organization Address: 4030 Occidental, Building B,
Organization City: Santa Rosa
Organization State: CA
Organization Zipcode: 95401
Organization Email: james.cook@dot.ca.gov
Organization Phone: (707) 974-2571
Data has not been verified.

Test 3 of 4

DIME Test ID: 2025-06-19-32-5
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 07/07/2025
Date Tested: 07/03/2025
Submitted By Organization: CT HQ - Vallejo Field Laboratory
Organization Address: 690 Walnut,
Organization City: vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: yannick.aranas@dot.ca.gov
Organization Phone: (916) 639-4315
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
Apparent mass of submerged cylinder 1 9 lb
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) 5050 psi
Maximum load on cylinder 1 68643 lb
Maximum load on cylinder 2 59819 lb
Maximum load on cylinder 3 61844 lb
Compressive strength of cylinder 1 5460.0 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 4760.0 psi
Compressive strength of cylinder 3 4920 psi
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 no data0 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data

Test 4 of 4

DIME Test ID: 2025-06-19-32-6
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 07/17/2025
Date Tested: 07/17/2025
Submitted By Organization: Kleinfelder - Hayward
Organization Address: 690 Walnut,
Organization City: vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: yannick.aranas@dot.ca.gov
Organization Phone: (916) 639-4315
General Comments for this Test: Results for DIME# 2025-06-19-32-1 from Kleinfelder Hayword. Lab was incorrectly assigned to Santa Rosa
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 4.00 in
Average diameter of cylinder 3 4.00 in
Cross sectional area of cylinder 1 12.63 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 77575 lb
Maximum load on cylinder 2 75851 lb
Maximum load on cylinder 3 72669 lb
Compressive strength of cylinder 1 6142.1 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 6034.3 psi
Compressive strength of cylinder 3 5781.1 psi
Type of fracture pattern of cylinder 2 5
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 data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2025-06-19-32-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens06/23/202507/17/2025Jose Calderon MaresCT SC - 3672 - Santa RosaPlease break one specimen at 14 days and the other at 28 days