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Sample Record for 2025-09-30-6

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

Project Information

Project ID: 1000199 DEA: 050N7054 EFIS: 0518000111 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-10.4/11.1
Work Description: South Coast 101 HOV Lanes Project 4E South- Santa Barbara
Location Description:
Contractor Name: Granite Construction Company
Contractor Address: PO Box 6744, Santa Barbara, CA 93160
Resident Engineer: Tristan Gebhart Structure Rep.: Gary Cavafian

Sample Information

DIME Sample ID: 2025-09-30-6
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Sample Organization Contact: (805) 621-3616
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/30/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2025
The quantity of what the sample constitutes: 110 CY
A brief description of the sample: 1 x 4 PCC Aggregates
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CEMEX Santa Barbara

Material Information

The concrete mix design number: 1629003
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 31760814
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:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2025-09-30-6-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 09/30/2025
Date Tested: 09/30/2025
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Temperature 77 F

Test 2 of 4

DIME Test ID: 2025-09-30-6-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 09/30/2025
Date Tested: 09/30/2025
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Slump 5.75 inch

Test 3 of 4

DIME Test ID: 2025-09-30-6-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/24/2025
Date Tested: 11/12/2025
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
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 4.00 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) 6080 psi
Maximum load on cylinder 1 76230 lb
Maximum load on cylinder 2 67140 lb
Maximum load on cylinder 3 85760 lb
Compressive strength of cylinder 1 6064.4 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 5341.3 psi
Compressive strength of cylinder 3 6822.6 psi
Type of fracture pattern of cylinder 2 5
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 43 days
Age of specimen in hours no data0 hours

Test 4 of 4

DIME Test ID: 2025-09-30-6-4
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/24/2025
Date Tested: 10/28/2025
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
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 C1231 - Unbonded Elastomeric Pad Cap
Average diameter of cylinder 1 4.01 in
Average diameter of cylinder 2 4.01 in
Average diameter of cylinder 3 4.00 in
Cross sectional area of cylinder 1 12.63 in^2
Cross sectional area of cylinder 2 12.63 in^2
Cross sectional area of cylinder 3 12.57 in^2
Compressive strength (to nearest 10 psi) 5660 psi
Maximum load on cylinder 1 66830 lb
Maximum load on cylinder 2 75300 lb
Maximum load on cylinder 3 71810 lb
Compressive strength of cylinder 1 5291.4 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 5962.0 psi
Compressive strength of cylinder 3 5712.8 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 28 days
Age of specimen in hours no data0 hours