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Sample Record for 2025-06-10-123

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

Project Information

Project ID: 994116 DEA: 010J4104 EFIS: 0119000025 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-299-30.7/33.4
Work Description: Project Name: HUM-299 Curve Improvement
Location Description: HUMBOLDT COUNTY NEAR WILLOW CREEK FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 0.1 MILE EAST OF EAST FORK WILLOW CREEK BRIDGE
Contractor Name: McCullough Construction Inc.
Contractor Address: 57 Alder Grove Road, Arcata, CA 95521
Resident Engineer: Ethan Retherford Structure Rep.: Laura Cangas

Sample Information

DIME Sample ID: 2025-06-10-123
TL Number from the TL Form:
Sample Submitted By Organization: SHN Engineers & Geologists, Incorporated
Sample Organization Contact: (707) 441-8855
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 06/10/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/11/2025
The quantity of what the sample constitutes: 95 CY
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification: C9982
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Eureka Ready mix

Material Information

The concrete mix design number: E675WRF
The truck number from where the sample was collected: 84
The batch plant ticket number from where the sample was collected: 42399
Concrete batch plant: eureka ready mix
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:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2025-06-10-123-1
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 09/14/2025
Date Tested: 06/10/2025
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 7 inch

Test 2 of 6

DIME Test ID: 2025-06-10-123-2
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 09/14/2025
Date Tested: 06/10/2025
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test: Ambient 78
Test Result Compliance:
Additional Comments When Verified:
Temperature 73 F

Test 3 of 6

DIME Test ID: 2025-06-10-123-3
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 09/14/2025
Date Tested: 06/10/2025
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample E675WRF
Volume of the measure 0.25 ft^3
Density of concrete 144.3 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content no data
Air content 5.2 %

Test 4 of 6

DIME Test ID: 2025-06-10-123-4
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/14/2025
Date Tested: 06/17/2025
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Capped in accordance with? ASTM C1231 - Unbonded Elastomeric Pad Cap
Average diameter of cylinder 1 4.01 in
Compressive strength of cylinder (to nearest 10 psi) 2510 psi
Maximum load on cylinder 1 31740 lb
Type of fracture pattern of cylinder 1 5
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 7 days
Age of specimen in hours no data0 hours

Test 5 of 6

DIME Test ID: 2025-06-10-123-5
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/14/2025
Date Tested: 07/08/2025
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
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 C1231 - Unbonded Elastomeric Pad 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) 3050 psi
Maximum load on cylinder 1 37240 lb
Maximum load on cylinder 2 40720 lb
Maximum load on cylinder 3 37080 lb
Type of fracture pattern of cylinder 1 5
Type of fracture pattern of cylinder 2 2
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 28 days
Age of specimen in hours no data0 hours

Test 6 of 6

DIME Test ID: 2025-06-10-123-6
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/14/2025
Date Tested: 07/22/2025
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
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 C1231 - Unbonded Elastomeric Pad 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) 3710 psi
Maximum load on cylinder 1 41920 lb
Maximum load on cylinder 2 48280 lb
Maximum load on cylinder 3 49640 lb
Type of fracture pattern of cylinder 1 3
Type of fracture pattern of cylinder 2 3
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 42 days
Age of specimen in hours no data0 hours