Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001110 DEA: 06484674 EFIS: 0623000083 COOP: 061794
QA Service Level: 2
DIST-CO-RTE-PM: 06-KER--
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Albert Heredia
DIME Sample ID: 2025-06-16-91
TL Number from the TL Form:
Sample Submitted By Organization: Sequoia Consultants
Sample Organization Contact: (714) 974-6316
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 06/16/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/17/2025
The quantity of what the sample constitutes: 2 cylinders
A brief description of the sample: structural concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Golden empire concrete
The concrete mix design number: ND25501
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 207335414
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Abutment #1 CIDH piles #1 & #9
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-06-16-91-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/29/2025
Date Tested: 07/14/2025
Submitted By Organization: Sequoia Consultants
Organization Address: 361 West Grove Avenue,
Organization City: Orange
Organization State: CA
Organization Zipcode: 92865
Organization Email: sranjan@sequoiacon.com
Organization Phone: 1 (714) 974-6316
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Unit system used?
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US Units
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Number of specimens
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2
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Test performed
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With no density determined
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Capped in accordance with?
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ASTM C617 - Sulfur Mortar Cap
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Average diameter of cylinder 1
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6.00 in
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Average diameter of cylinder 2
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6.00 in
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Cross sectional area of cylinder 1
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28.27 in^2
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Cross sectional area of cylinder 2
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28.27 in^2
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Compressive strength (to nearest 10 psi)
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4680 psi
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Maximum load on cylinder 1
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126680 lb
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Maximum load on cylinder 2
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138040 lb
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Type of fracture pattern of cylinder 1
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3
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Type of fracture pattern of cylinder 2
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5
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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
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1
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Correction factor for cylinder 2
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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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