Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994751 DEA: 010C5004 EFIS: 0112000292
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-36-11.3/34.6
Work Description: Project Name: Bridge Rail Replacement - 3 Bridges
Location Description: Hely Creek, Little Larabee Creek and Butte Creek Bridge.
Contractor Name: Mercer-Fraser Company
Contractor Address: 200 Dinsmore Dr, Fortuna, CA 95540
Resident Engineer: Joaquin Rodriguez Structure Rep.: Shantanu Nalawade
DIME Sample ID: 2025-10-03-27
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Boyd Road Field Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/03/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/06/2025
The quantity of what the sample constitutes: 45 CY
A brief description of the sample: PCC with slag and air entrainment.
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser - Fortuna
The concrete mix design number: MF CL 1 .40 SLAG AE
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 112098
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete dischanged from the truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-10-03-27-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/10/2025
Date Tested: 10/10/2025
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: 7 Day Break 10/10/25
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
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4.00 in
|
|
Average diameter of cylinder 2
|
4.00 in
|
|
Average diameter of cylinder 3
|
4.00 in
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|
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)
|
6840 psi
|
|
Maximum load on cylinder 1
|
85163 lb
|
|
Maximum load on cylinder 2
|
83382 lb
|
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Maximum load on cylinder 3
|
89567 lb
|
|
Type of fracture pattern of cylinder 1
|
2
|
|
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
|
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Age of specimen
|
7 days
|
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Age of specimen in hours
|
no data0 hours
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DIME Test ID: 2025-10-03-27-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/31/2025
Date Tested: 10/31/2025
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: 10/31/25 28 Day Break
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)
|
8500 psi
|
|
Maximum load on cylinder 1
|
102688 lb
|
|
Maximum load on cylinder 2
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105562 lb
|
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Maximum load on cylinder 3
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112468 lb
|
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Type of fracture pattern of cylinder 1
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3
|
|
Type of fracture pattern of cylinder 2
|
3
|
|
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
|
