Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000256 DEA: 120S2804 EFIS: 1220000014
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-9.6/10.4
Work Description: ADD SECONDARY AUXILIARY LANE.
Location Description: ORANGE COUNTY IN SAN JUAN CAPISTRANO FROM ROUTE 74/5 SEPARATION TO 0.5 MILE SOUTH OF JUNIPERO SERRA ROAD UNDERCROSSING
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335
Resident Engineer: Luis Vasquez Structure Rep.: Noah Bruton
DIME Sample ID: 2025-08-07-47
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 08/07/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/08/2025
The quantity of what the sample constitutes: 9
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 25-0286
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown
The concrete mix design number: 1614705
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: Unknown
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled: RW 558 Footing
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-08-07-47-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/21/2025
Date Tested: 08/14/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
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
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|
Average diameter of cylinder 2
|
4.00 in
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|
Average diameter of cylinder 3
|
4.00 in
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|
Cross sectional area of cylinder 1
|
12.57 in^2
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Cross sectional area of cylinder 2
|
12.57 in^2
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Cross sectional area of cylinder 3
|
12.57 in^2
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Compressive strength (to nearest 10 psi)
|
4240 psi
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Maximum load on cylinder 1
|
53990 lb
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Maximum load on cylinder 2
|
52090 lb
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Maximum load on cylinder 3
|
53720 lb
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Compressive strength of cylinder 1
|
4295.1 psi
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Type of fracture pattern of cylinder 1
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3
|
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Compressive strength of cylinder 2
|
4144.0 psi
|
|
Compressive strength of cylinder 3
|
4273.7 psi
|
|
Type of fracture pattern of cylinder 2
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3
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Type of fracture pattern of cylinder 3
|
3
|
|
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
|
|
Correction factor for cylinder 2
|
1
|
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Correction factor for cylinder 3
|
1
|
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Age of specimen
|
7 days
|
|
Age of specimen in hours
|
no data0 hours
|
DIME Test ID: 2025-08-07-47-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/21/2025
Date Tested: 08/21/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
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
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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)
|
5070 psi
|
|
Maximum load on cylinder 1
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63060 lb
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Maximum load on cylinder 2
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66090 lb
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Maximum load on cylinder 3
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62050 lb
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Compressive strength of cylinder 1
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5016.7 psi
|
|
Type of fracture pattern of cylinder 1
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3
|
|
Compressive strength of cylinder 2
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5257.8 psi
|
|
Compressive strength of cylinder 3
|
4936.4 psi
|
|
Type of fracture pattern of cylinder 2
|
3
|
|
Type of fracture pattern of cylinder 3
|
3
|
|
Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
|
|
Correction factor for cylinder 1
|
1
|
|
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: 2025-08-07-47-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/04/2025
Date Tested: 09/04/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
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
|
4.01 in
|
|
Average diameter of cylinder 3
|
4.00 in
|
|
Cross sectional area of cylinder 1
|
12.57 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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12.57 in^2
|
|
Compressive strength (to nearest 10 psi)
|
5260 psi
|
|
Maximum load on cylinder 1
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62510 lb
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Maximum load on cylinder 2
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64580 lb
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Maximum load on cylinder 3
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71390 lb
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Compressive strength of cylinder 1
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4973.0 psi
|
|
Type of fracture pattern of cylinder 1
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3
|
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Compressive strength of cylinder 2
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5113.2 psi
|
|
Compressive strength of cylinder 3
|
5679.4 psi
|
|
Type of fracture pattern of cylinder 2
|
3
|
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Type of fracture pattern of cylinder 3
|
3
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|
Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
|
|
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
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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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