Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995494 DEA: 081K4904 EFIS: 0819000050
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R105.1/R105.9
Work Description: BUILDING WORK, HMA, AND TEMPORARY PORTABLE SANITARY FACILITIES.
Location Description: SAN BERNARDINO COUNTY ABOUT 36 MILES WEST OF NEEDLES FROM 2.1 MILES TO 1.3 MILES WEST OF GOFFS ROAD UNDERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 38000 Monroe Street, Indio, CA 92203
Resident Engineer: Anthony Doan Structure Rep.: Alejandrino Naime
DIME Sample ID: 2025-09-30-34
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
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: 10/02/2025
The quantity of what the sample constitutes: 6
A brief description of the sample: 4x8
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: hi grade
The concrete mix design number: np
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 34004576
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: eb fire protection pad
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-09-30-34-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/17/2025
Date Tested: 10/28/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
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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3
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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 C1231 - Unbonded Elastomeric Pad Cap
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Apparent mass of submerged cylinder 1
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no data0 lb
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Average diameter of cylinder 1
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4.01 in
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Average diameter of cylinder 2
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4.01 in
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Average diameter of cylinder 3
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4.00 in
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Cross sectional area of cylinder 1
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12.63 in^2
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Cross sectional area of cylinder 2
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12.63 in^2
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Cross sectional area of cylinder 3
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12.57 in^2
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Compressive strength (to nearest 10 psi)
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5450 psi
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Maximum load on cylinder 1
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71140 lb
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Maximum load on cylinder 2
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67110 lb
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Maximum load on cylinder 3
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67830 lb
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Compressive strength of cylinder 1
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5630.0 psi
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Type of fracture pattern of cylinder 1
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3
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Compressive strength of cylinder 2
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5310.0 psi
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Compressive strength of cylinder 3
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5400 psi
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Type of fracture pattern of cylinder 2
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3
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Type of fracture pattern of cylinder 3
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1
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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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Correction factor for cylinder 3
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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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Serial number of delivery ticket, if available
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no data
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