Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000580 DEA: 071XW104 EFIS: 0723000028
QA Service Level: 1
DIST-CO-RTE-PM: 07---
Work Description: VENTURA COUNTY IN CITY OF FILLMORE VEN-126REPLACE/CONSTRUCT THE FILLMORE MAINTENANCESTATION DAMAGED BY HIGH WINDS DIR\\'S EMERGENCY
Location Description:
Contractor Name: MGP CONSTRUCTION DBA MICHAEL
Contractor Address: PO BOX 355, UPLAND, CA 91785
Resident Engineer: ALFRED IRA Structure Rep.: Heidi Bernstein
DIME Sample ID: 2025-06-17-116
TL Number from the TL Form: 1282025
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Concrete
Sample Taken Date: 06/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/20/2025
The quantity of what the sample constitutes: 130 CY
A brief description of the sample: 4X8 PCC cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 25-360
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: State Ready Mix
The concrete mix design number: 15056
The truck number from where the sample was collected: 1 TO 7
The batch plant ticket number from where the sample was collected: 90166
Concrete batch plant: State Ready Mix
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: truck chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-06-17-116-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/08/2025
Date Tested: 07/01/2025
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Unit system used?
|
US Units
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|
Number of specimens
|
3
|
|
Test performed
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With no density determined
|
|
Capped in accordance with?
|
ASTM C617 - Sulfur Mortar Cap
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Average diameter of cylinder 1
|
4.01 in
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|
Average diameter of cylinder 2
|
4.01 in
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|
Average diameter of cylinder 3
|
4.01 in
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|
Cross sectional area of cylinder 1
|
12.63 in^2
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Cross sectional area of cylinder 2
|
12.63 in^2
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Cross sectional area of cylinder 3
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12.63 in^2
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Compressive strength (to nearest 10 psi)
|
4920 psi
|
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Maximum load on cylinder 1
|
63024 lb
|
|
Maximum load on cylinder 2
|
60935 lb
|
|
Maximum load on cylinder 3
|
62460 lb
|
|
Compressive strength of cylinder 1
|
4990.0 psi
|
|
Type of fracture pattern of cylinder 1
|
2
|
|
Compressive strength of cylinder 2
|
4824.6 psi
|
|
Compressive strength of cylinder 3
|
4945.4 psi
|
|
Type of fracture pattern of cylinder 2
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2
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|
Type of fracture pattern of cylinder 3
|
2
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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
|
1
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Correction factor for cylinder 2
|
1
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Correction factor for cylinder 3
|
1
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Age of specimen
|
14 days
|
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Age of specimen in hours
|
no data0 hours
|
DIME Test ID: 2025-06-17-116-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/15/2025
Date Tested: 07/15/2025
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
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
|
4.02 in
|
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Average diameter of cylinder 3
|
4.01 in
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Cross sectional area of cylinder 1
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12.57 in^2
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Cross sectional area of cylinder 2
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12.69 in^2
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Cross sectional area of cylinder 3
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12.63 in^2
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Compressive strength (to nearest 10 psi)
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5480 psi
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Maximum load on cylinder 1
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67141 lb
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Maximum load on cylinder 2
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72114 lb
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Maximum load on cylinder 3
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68307 lb
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Compressive strength of cylinder 1
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5341.4 psi
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|
Type of fracture pattern of cylinder 1
|
2
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Compressive strength of cylinder 2
|
5682.7 psi
|
|
Compressive strength of cylinder 3
|
5408.3 psi
|
|
Type of fracture pattern of cylinder 2
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2
|
|
Type of fracture pattern of cylinder 3
|
2
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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
|
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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28 days
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Age of specimen in hours
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no data0 hours
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