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Sample Record for 2025-04-07-115

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

Project Information

Project ID: 994654 DEA: 07313504 EFIS: 0715000090 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,VEN-1-37.7/62.9,0.0/0.9
Work Description: REMOVE AND CONSTRUCT BRIDGE AND CULVERTS.
Location Description: LOS ANGELES AND VENTURA COUNTIES AT VARIOUS LOCATIONS FROM 0.4 MILE SOUTH OF TEMESCAL CANYON ROAD TO 0.1 MILE NORTH OF TONGA STREET
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342
Resident Engineer: Dan Leon Structure Rep.: Aziz Maghsoudloo

Sample Information

DIME Sample ID: 2025-04-07-115
TL Number from the TL Form:
Sample Submitted By Organization: G3 Quality, Incorporated - Cerritos
Sample Organization Contact: (562) 321-9840
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 04/07/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/08/2025
The quantity of what the sample constitutes: 5
A brief description of the sample: 4x8 Concrete Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: Mix ORSLBD50 Set 2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Associated Ready Mix

Material Information

The concrete mix design number: ORSLBD50
The truck number from where the sample was collected: Load 11
The batch plant ticket number from where the sample was collected: Unknown
Concrete batch plant:
The fabricator/manufacturer designation for the sample: Set 2
A detailed description of where the material sample was collected: Bridge Deck, STA 2922+22
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2025-04-07-115-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/03/2025
Date Tested: 05/05/2025
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
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 C617 - Sulfur Mortar Cap
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) 8560 psi
Maximum load on cylinder 1 109244 lb
Maximum load on cylinder 2 106937 lb
Maximum load on cylinder 3 106733 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 2
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

Test 2 of 5

DIME Test ID: 2025-04-07-115-2
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 08/03/2025
Date Tested: 04/07/2025
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 70 F

Test 3 of 5

DIME Test ID: 2025-04-07-115-3
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 08/03/2025
Date Tested: 04/07/2025
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit weight of the concrete 159.8 lb/ft^3
Cement content no data0 lb/yd^3

Test 4 of 5

DIME Test ID: 2025-04-07-115-4
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 08/03/2025
Date Tested: 04/07/2025
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air Content 1.7 %

Test 5 of 5

DIME Test ID: 2025-04-07-115-5
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 08/03/2025
Date Tested: 04/07/2025
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 5 inch