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Sample Record for 2025-08-29-7

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

Project Information

Project ID: 1001211 DEA: 031N2104 EFIS: 0324000318 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-O Street-23.3 / 23.4
Work Description:
Location Description:
Contractor Name: Golden State Bridge
Contractor Address: 2990 Bay Vista Court, Benicia, CA 94510
Resident Engineer: Jony Tji Structure Rep.: Brent Bullard

Sample Information

DIME Sample ID: 2025-08-29-7
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3665 - Sacramento
Sample Organization Contact: (916) 768-8293
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 08/29/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/03/2025
The quantity of what the sample constitutes: 6 - 4x8 Cylinders
A brief description of the sample: Quikcrete 60 lb Bag Mixed
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Quikrete

Material Information

The concrete mix design number: 1101-60
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Sample collected from mixer.
Where the material sample would have been placed if not sampled: Headwall
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2025-08-29-7-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/15/2025
Date Tested: 09/26/2025
Submitted By Organization: Atlas - Oakland
Organization Address: 534 23rd Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94606
Organization Email: guillermo.baltazar@oneatlas.com
Organization Phone: (510) 434-3018
General Comments for this Test: Apparent mass not measured.
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 C1231 - Unbonded Elastomeric Pad Cap
Apparent mass of submerged cylinder 1 no data0 lb
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) 5440 psi
Maximum load on cylinder 1 68520 lb
Maximum load on cylinder 2 67720 lb
Maximum load on cylinder 3 68730 lb
Compressive strength of cylinder 1 5450.0 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 5390.0 psi
Compressive strength of cylinder 3 5470 psi
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 no data0 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data

Test 2 of 2

DIME Test ID: 2025-08-29-7-4
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/15/2025
Date Tested: 10/10/2025
Submitted By Organization: Atlas - Oakland
Organization Address: 534 23rd Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94606
Organization Email: guillermo.baltazar@oneatlas.com
Organization Phone: (510) 434-3018
General Comments for this Test: Apparent mass not measured.
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 C1231 - Unbonded Elastomeric Pad Cap
Apparent mass of submerged cylinder 1 no data0 lb
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) 5630 psi
Maximum load on cylinder 1 71680 lb
Maximum load on cylinder 2 70070 lb
Maximum load on cylinder 3 70730 lb
Compressive strength of cylinder 1 5700.0 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 5570.0 psi
Compressive strength of cylinder 3 5630 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) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Correction factor for cylinder 3 1
Age of specimen 42 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2025-08-29-7-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens09/16/202509/26/2025Phillip MontesCT HQ - Sacramento Concrete Testing Laboratory
2025-08-29-7-2ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens09/16/202510/10/2025Phillip MontesCT HQ - Sacramento Concrete Testing Laboratory