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Sample Record for 2025-10-09-18

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

Project Information

Project ID: 1001375 DEA: 040A53T4 EFIS: 0421000155 COOP: 040A53TCM QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-L1.8/L3.2
Work Description: Construct I-80 WB Truck Scales
Location Description: CONSTRUCTION ON STATE HIGHWAY IN SOLANO COUNTY IN AND NEAR FAIRFIELD ON ROUTE 12 FROM THE 80/12 EAST JUNCTION TO 0.9 MILE EAST OF CHADBOURNE ROAD UNDERCROSSING AND ON ROUTE 80 FROM 0.5 MILE WEST OF DAN WILSON CREEK BRIDGE TO WEST TEXAS STREET UNDERCROSSI
Contractor Name: Kiewit Infrastructure West Co.
Contractor Address: 4650 Business Center Drive, Fairfield, CA 94534
Resident Engineer: Darren Isada Structure Rep.: Nana Budu

Sample Information

DIME Sample ID: 2025-10-09-18
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Sample Organization Contact: 510-714-7055
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/09/2025
The quantity of what the sample constitutes: 3 cylinders
A brief description of the sample: 4"x8" cylinders
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Raines Drain - WW Footing
The fabricator/manufacturer/facility name: Central

Material Information

The concrete mix design number: D20115E1
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 922797
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
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.:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2025-10-09-18-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: alejandro.lara@dot.ca.gov
Organization Phone: (510) 714-7055
Data has not been verified.

Test 2 of 3

DIME Test ID: 2025-10-09-18-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: alejandro.lara@dot.ca.gov
Organization Phone: (510) 714-7055
Data has not been verified.

Test 3 of 3

DIME Test ID: 2025-10-09-18-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/06/2025
Date Tested: 11/06/2025
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: Mix Design: D20115E1
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) 4040 psi
Maximum load on cylinder 1 51980 lb
Maximum load on cylinder 2 49650 lb
Maximum load on cylinder 3 50650 lb
Compressive strength of cylinder 1 4135.2 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 3949.9 psi
Compressive strength of cylinder 3 4029.4 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 28 days
Age of specimen in hours no data0 hours