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Sample Record for 2025-08-28-82

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Project Information

Project ID: 1000569 DEA: 051J8604 EFIS: 0518000081 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-101-7.8/16.5
Work Description: COLD PLANE AC PAVEMENT, RHMA-G, DRAINAGE SYSTEMS AND BARRIERS.
Location Description: SAN LUIS OBISPO COUNTY IN AND NEAR ARROYO GRANDE AND PISMO BEACH FROM LOS BERROS ROAD UNDERCROSSING TO PISMO CREEK BRIDGE
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: 398 Sunrise Terrace, Arroyo Grande, CA 93420
Resident Engineer: Philip Gaston Structure Rep.: Salvador Heredia

Sample Information

DIME Sample ID: 2025-08-28-82
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Sample Organization Contact: 8053191237
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 08/28/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/29/2025
The quantity of what the sample constitutes: 10 Cy
A brief description of the sample: Portland Cement Concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Alliance Ready Mix Arroyo Grande ee

Material Information

The concrete mix design number: 635C3N0P
The truck number from where the sample was collected: 127
The batch plant ticket number from where the sample was collected: 26343
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of truck chute
Where the material sample would have been placed if not sampled: S/B Fair oaks barrier wall
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 4

DIME Test ID: 2025-08-28-82-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/29/2025
Date Tested: 09/04/2025
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: isaac.gleffe@dot.ca.gov
Organization Phone: (805) 319-1237
General Comments for this Test: 7-day compressive strength breaks 3600 PSI @ 28 days
Test Result Compliance: not applicable
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar 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 12.5 in^2
Compressive strength (to nearest 10 psi) 3340 psi
Maximum load on cylinder 1 40271 lb
Maximum load on cylinder 2 42808 lb
Maximum load on cylinder 3 42439 lb
Type of fracture pattern of cylinder 1 4
Type of fracture pattern of cylinder 2 4
Type of fracture pattern of cylinder 3 4
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 7 days
Age of specimen in hours no data0 hours

Test 2 of 4

DIME Test ID: 2025-08-28-82-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/30/2025
Date Tested: 09/25/2025
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: isaac.gleffe@dot.ca.gov
Organization Phone: (805) 319-1237
General Comments for this Test: 28-day compressive strength break results 3600 PSI @ 28 days
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar 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) 5480 psi
Maximum load on cylinder 1 66771 lb
Maximum load on cylinder 2 69069 lb
Maximum load on cylinder 3 70773 lb
Type of fracture pattern of cylinder 1 4
Type of fracture pattern of cylinder 2 4
Type of fracture pattern of cylinder 3 4
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

Test 3 of 4

DIME Test ID: 2025-08-28-82-3
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 10/29/2025
Date Tested: 08/28/2025
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: isaac.gleffe@dot.ca.gov
Organization Phone: (805) 319-1237
General Comments for this Test: Maximum allowed temperature 90 F
Test Result Compliance: complies
Additional Comments When Verified:
Temperature 71 F

Test 4 of 4

DIME Test ID: 2025-08-28-82-4
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 10/29/2025
Date Tested: 08/28/2025
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: isaac.gleffe@dot.ca.gov
Organization Phone: (805) 319-1237
General Comments for this Test: Slump 1-4" Requirement
Test Result Compliance: complies
Additional Comments When Verified:
Slump 4 inch