Sample Record for 2025-07-11-33
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000697 DEA: 021J75U4 EFIS: 0224000092
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-36-14.4/R16.8
Work Description: PLACE HMA AND CLASS 2 AB, EXCAVATE ROADWAY, & INSTALL LIGHTING SYSTEM.
Location Description: LASSEN COUNTY ABOUT 9 MILES WEST OF SUSANVILLE FROM 1.3 MILES WEST TO 1.2 MILES EAST OF WILLARD CREEK ROAD
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: HAT CREEK CONSTRUCTION & MATERIALS, INC. 24339 Hwy 89 North, burney, CA, 96013
Resident Engineer: Daniel Gibbs Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2025-07-11-33
TL Number from the TL Form:
Sample Submitted By Organization: Structure Cast
Sample Organization Contact: (661) 301-2624
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 07/11/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/11/2025
The quantity of what the sample constitutes: 5 CY
A brief description of the sample: Concrete Samples
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: StructureCast
Material Information
The concrete mix design number: 9SKSCC-TIT
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 16642
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Batch Plant
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test Results
Test 1 of 3
DIME Test ID: 2025-07-11-33-1
Test Method: ASTM C1611-21: Standard Test Method for Slump Flow of Self-Consolidating Concrete
Verified Date: 07/21/2025
Date Tested: 07/11/2025
Submitted By Organization: Structure Cast
Organization Address: 8261 McCutchen Road ,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93311
Organization Email: brent@structurecast.com
Organization Phone: (661) 717-5464
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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What unit system is used for measurements?
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inches
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Slump Flow
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27 in
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Filling the mold procedure
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Filling Procedure B (Inverted Mold)
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Diameter 1
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27 in
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Diameter 2
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27 in
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Visual Stability Index
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no data0
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Test 2 of 3
DIME Test ID: 2025-07-11-33-2
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 07/21/2025
Date Tested: 07/11/2025
Submitted By Organization: Structure Cast
Organization Address: 8261 McCutchen Road ,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93311
Organization Email: brent@structurecast.com
Organization Phone: (661) 717-5464
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Test 3 of 3
DIME Test ID: 2025-07-11-33-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 07/21/2025
Date Tested: 07/18/2025
Submitted By Organization: Structure Cast
Organization Address: 8261 McCutchen Road ,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93311
Organization Email: brent@structurecast.com
Organization Phone: (661) 717-5464
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 C1231 - Unbonded Elastomeric Pad Cap
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Apparent mass of submerged cylinder 1
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no data0 lb
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Average diameter of cylinder 1
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4.00 in
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Average diameter of cylinder 2
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4.00 in
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Average diameter of cylinder 3
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4.00 in
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Cross sectional area of cylinder 1
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12.56 in^2
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Cross sectional area of cylinder 2
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12.56 in^2
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Cross sectional area of cylinder 3
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12.56 in^2
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Compressive strength (to nearest 10 psi)
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6720 psi
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Maximum load on cylinder 1
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85483 lb
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Maximum load on cylinder 2
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83185 lb
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Maximum load on cylinder 3
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84504 lb
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Type of fracture pattern of cylinder 1
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5
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Type of fracture pattern of cylinder 2
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2
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Type of fracture pattern of cylinder 3
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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
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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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Serial number of delivery ticket, if available
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no data
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