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Sample Record for 2025-06-17-142

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

Project Information

Project ID: 1001169 DEA: 07314524 EFIS: 0722000300 COOP: 075283 QA Service Level: 2
DIST-CO-RTE-PM: 07---
Work Description: I-105 METRO Express Lanes Project
Location Description: LA-105 PM R0.6/R10.1, LA-110 PM R14.1/R16.6
Contractor Name: Flatiron-Myers (JV)
Contractor Address: Unknown
Resident Engineer: Roger Miramontes Structure Rep.: Javid Sharifi

Sample Information

DIME Sample ID: 2025-06-17-142
TL Number from the TL Form:
Sample Submitted By Organization: Alta Vista Solutions - Whittier
Sample Organization Contact: (510) 542-9827
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 06/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/17/2025
The quantity of what the sample constitutes: 20 CY
A brief description of the sample: CIDH Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: D8_S1
Structure unique identifier:
Structure name: Palowalla Access Rd Concrete Barrier WB-1-10 Mainline
The fabricator/manufacturer/facility name: N/A

Material Information

The concrete mix design number: CT675F25
The truck number from where the sample was collected: Truck or Ticket 14019862
The batch plant ticket number from where the sample was collected: Load 2
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Jobsite
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: 2025-06-17-142-1
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 08/20/2025
Date Tested: 06/17/2025
Submitted By Organization: Alta Vista Solutions - Whittier
Organization Address: 12409 Slauson Avenue, Suite I,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90606
Organization Email: nicholas.hoffmann@oneatlas.com
Organization Phone: (510) 542-9827
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Temperature 84 F

Test 2 of 3

DIME Test ID: 2025-06-17-142-2
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 08/20/2025
Date Tested: 06/17/2025
Submitted By Organization: Alta Vista Solutions - Whittier
Organization Address: 12409 Slauson Avenue, Suite I,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90606
Organization Email: nicholas.hoffmann@oneatlas.com
Organization Phone: (510) 542-9827
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Air Content 0.8 %

Test 3 of 3

DIME Test ID: 2025-06-17-142-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/20/2025
Date Tested: 07/15/2025
Submitted By Organization: Alta Vista Solutions - Whittier
Organization Address: 12409 Slauson Avenue, Suite I,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90606
Organization Email: nicholas.hoffmann@oneatlas.com
Organization Phone: (510) 542-9827
General Comments for this Test:
Test Result Compliance: not applicable
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 5.97 in
Average diameter of cylinder 2 5.97 in
Average diameter of cylinder 3 5.97 in
Cross sectional area of cylinder 1 27.99 in^2
Cross sectional area of cylinder 2 27.99 in^2
Cross sectional area of cylinder 3 27.99 in^2
Compressive strength (to nearest 10 psi) 5470 psi
Maximum load on cylinder 1 152773 lb
Maximum load on cylinder 2 154934 lb
Maximum load on cylinder 3 151372 lb
Compressive strength of cylinder 1 5458.1 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 5535.3 psi
Compressive strength of cylinder 3 5408.1 psi
Type of fracture pattern of cylinder 2 2
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