Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995448 DEA: 07316804 EFIS: 0715000220
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10S-28.3
Work Description: REPLACE BRIDGE DECK.
Location Description: LOS ANGELES COUNTY IN EL MONTE AT RIO HONDO BUSWAY BRIDGE
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: 8555 Banana ave., Fontana Ca 92335
Resident Engineer: Jacky Chan Structure Rep.: Unknown
DIME Sample ID: 2025-10-20-28
TL Number from the TL Form: 07-316804
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Concrete
Sample Taken Date: 10/20/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/21/2025
The quantity of what the sample constitutes: 130 CY
A brief description of the sample: 3 4x8 PCC Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 25-1159
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex
The concrete mix design number: 1610838
The truck number from where the sample was collected: 1
The batch plant ticket number from where the sample was collected: 42722865
Concrete batch plant: Cemex
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: truck chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-10-20-28-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/27/2025
Date Tested: 10/27/2025
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance: complies
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 C617 - Sulfur Mortar Cap
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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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4.01 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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12.63 in^2
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Compressive strength (to nearest 10 psi)
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4320 psi
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Maximum load on cylinder 1
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52631 lb
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Maximum load on cylinder 2
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55762 lb
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Maximum load on cylinder 3
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55104 lb
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Compressive strength of cylinder 1
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4167.1 psi
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Type of fracture pattern of cylinder 1
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2
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Compressive strength of cylinder 2
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4415.0 psi
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Compressive strength of cylinder 3
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4362.9 psi
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Type of fracture pattern of cylinder 2
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2
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Type of fracture pattern of cylinder 3
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2
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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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7 days
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Age of specimen in hours
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no data0 hours
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