Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000731 DEA: 042Q4404 EFIS: 0419000013
QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-121-6.5,8.4
Work Description: REMOVE BR AND AC SURF, CONSTRUCT BR DECK, RAILING AND POLYESTER CONC.
Location Description: SONOMA COUNTY NEAR SONOMA AT YELLOW CREEK BRIDGE AND AT ARROYO SECO BRIDGE
Contractor Name: GORDON N. BALL, INC.
Contractor Address: Unknown
Resident Engineer: Fabio La Serna Structure Rep.: Jeremy Light
DIME Sample ID: 2025-10-04-4
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3672 - Novato Field Office
Sample Organization Contact: (916) 621-8033
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/26/2025
The quantity of what the sample constitutes: 28 CY
A brief description of the sample: 3 4x8 cylinders
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier: 20-0023
Structure name: Arroyo Seco bridge, Westbound Deck Fiber
The fabricator/manufacturer/facility name: Shamrock Materials Inc
The concrete mix design number: H7511503
The truck number from where the sample was collected: 2416
The batch plant ticket number from where the sample was collected: 411164
Concrete batch plant: 138 Petaluma
The fabricator/manufacturer designation for the sample: Shamrock Materials
A detailed description of where the material sample was collected: back of truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-10-04-4-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Submitted By Organization: CT SC - 3672 - Novato Field Office
Organization Address: 384 Bel Marin Keys Boulevard, Suite 200,
Organization City: Novato
Organization State: CA
Organization Zipcode: 94949
Organization Email: josh.velono@dot.ca.gov
Organization Phone: (916) 621-8033
Data has not been verified.
DIME Test ID: 2025-10-04-4-2
Test Method: ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: CT SC - 3672 - Novato Field Office
Organization Address: 384 Bel Marin Keys Boulevard, Suite 200,
Organization City: Novato
Organization State: CA
Organization Zipcode: 94949
Organization Email: josh.velono@dot.ca.gov
Organization Phone: (916) 621-8033
Data has not been verified.
DIME Test ID: 2025-10-04-4-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/06/2025
Date Tested: 10/06/2025
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
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
|
|
Average diameter of cylinder 1
|
4.00 in
|
|
Average diameter of cylinder 2
|
4.01 in
|
|
Average diameter of cylinder 3
|
3.99 in
|
|
Cross sectional area of cylinder 1
|
12.57 in^2
|
|
Cross sectional area of cylinder 2
|
12.63 in^2
|
|
Cross sectional area of cylinder 3
|
12.5 in^2
|
|
Compressive strength (to nearest 10 psi)
|
5180 psi
|
|
Maximum load on cylinder 1
|
63353 lb
|
|
Maximum load on cylinder 2
|
65108 lb
|
|
Maximum load on cylinder 3
|
66938 lb
|
|
Compressive strength of cylinder 1
|
5040.0 psi
|
|
Type of fracture pattern of cylinder 1
|
5
|
|
Compressive strength of cylinder 2
|
5155.0 psi
|
|
Compressive strength of cylinder 3
|
5355 psi
|
|
Type of fracture pattern of cylinder 2
|
3
|
|
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
|
2 days
|
|
Age of specimen in hours
|
no data
|
DIME Test ID: 2025-10-04-4-4
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/08/2025
Date Tested: 10/07/2025
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
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
|
|
Average diameter of cylinder 1
|
3.99 in
|
|
Average diameter of cylinder 2
|
3.99 in
|
|
Average diameter of cylinder 3
|
4.00 in
|
|
Cross sectional area of cylinder 1
|
12.5 in^2
|
|
Cross sectional area of cylinder 2
|
12.5 in^2
|
|
Cross sectional area of cylinder 3
|
12.57 in^2
|
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Compressive strength (to nearest 10 psi)
|
6130 psi
|
|
Maximum load on cylinder 1
|
77087 lb
|
|
Maximum load on cylinder 2
|
76337 lb
|
|
Maximum load on cylinder 3
|
76903 lb
|
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Compressive strength of cylinder 1
|
6167.0 psi
|
|
Type of fracture pattern of cylinder 1
|
2
|
|
Compressive strength of cylinder 2
|
6107.0 psi
|
|
Compressive strength of cylinder 3
|
6118 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
|
3 days
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|
Age of specimen in hours
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no data
|
