Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000274 DEA: 041X2804 EFIS: 0424000295
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-84-11.2 or 15.5
Work Description: Repair Slip Out
Location Description: Niles Canyon
Contractor Name: Pacific Coast Drilling Co., Inc. (Aaron Sykes)
Contractor Address: 364 Bellevue Ave., Santa Rosa 95407
Resident Engineer: Eddie Dike Structure Rep.: Jordan Jarosz
DIME Sample ID: 2025-09-29-24
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Vallejo Field Laboratory
Sample Organization Contact: 9166394315
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/29/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2025
The quantity of what the sample constitutes: 10 CY
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ghilotti Construction
The concrete mix design number: 590CR2
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 312602
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Wheel Barrow from Chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-09-29-24-1
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Submitted By Organization: CT HQ - Vallejo Field Laboratory
Organization Address: 690 Walnut,
Organization City: vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: yannick.aranas@dot.ca.gov
Organization Phone: (916) 639-4315
Data has not been verified.
DIME Test ID: 2025-09-29-24-2
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Submitted By Organization: CT HQ - Vallejo Field Laboratory
Organization Address: 690 Walnut,
Organization City: vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: yannick.aranas@dot.ca.gov
Organization Phone: (916) 639-4315
Data has not been verified.
DIME Test ID: 2025-09-29-24-3
Test Method: CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement Concrete
Submitted By Organization: CT HQ - Vallejo Field Laboratory
Organization Address: 690 Walnut,
Organization City: vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: yannick.aranas@dot.ca.gov
Organization Phone: (916) 639-4315
Data has not been verified.
DIME Test ID: 2025-09-29-24-4
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Submitted By Organization: CT HQ - Vallejo Field Laboratory
Organization Address: 690 Walnut,
Organization City: vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: yannick.aranas@dot.ca.gov
Organization Phone: (916) 639-4315
Data has not been verified.
DIME Test ID: 2025-09-29-24-5
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/29/2025
Date Tested: 10/27/2025
Submitted By Organization: Kleinfelder - Hayward
Organization Address: 690 Walnut,
Organization City: vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: yannick.aranas@dot.ca.gov
Organization Phone: (916) 639-4315
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
|
|
Apparent mass of submerged cylinder 1
|
9 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)
|
5270 psi
|
|
Maximum load on cylinder 1
|
64841 lb
|
|
Maximum load on cylinder 2
|
64059 lb
|
|
Maximum load on cylinder 3
|
69912 lb
|
|
Compressive strength of cylinder 1
|
5160.0 psi
|
|
Type of fracture pattern of cylinder 1
|
3
|
|
Compressive strength of cylinder 2
|
5100.0 psi
|
|
Compressive strength of cylinder 3
|
5560 psi
|
|
Type of fracture pattern of cylinder 2
|
5
|
|
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
|
28 days
|
|
Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
