Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214345 DEA: 120P94U4 EFIS: 1217000076
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-133-3.2/R4.1
Work Description: ROADWAY WIDENING, RESTRIPING AND DRAINAGE WORK.
Location Description: ORANGE COUNTY IN THE CITY OF LAGUNA BEACH FROM 0.2 MILE SOUTH OF EL TORO ROAD TO ROUTE 73/133 SEPARATION
Contractor Name: Granite Construction
Contractor Address: Unknown
Resident Engineer: Franklin Luna Structure Rep.: Chungkeun (Chung) Lee
DIME Sample ID: 2025-10-09-72
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
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: 10/10/2025
The quantity of what the sample constitutes: 9
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 25-0347
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex
The concrete mix design number: 1634523
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: Unknown
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled: Check Dam Superstructure (pour#5)
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-10-09-72-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/27/2025
Date Tested: 10/16/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
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?
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ASTM C617 - Sulfur Mortar Cap
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Average diameter of cylinder 1
|
4.00 in
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Average diameter of cylinder 2
|
4.01 in
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Average diameter of cylinder 3
|
4.00 in
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Cross sectional area of cylinder 1
|
12.57 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
|
12.57 in^2
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Compressive strength (to nearest 10 psi)
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3480 psi
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Maximum load on cylinder 1
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45930 lb
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Maximum load on cylinder 2
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46030 lb
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Maximum load on cylinder 3
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39650 lb
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Compressive strength of cylinder 1
|
3653.9 psi
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Type of fracture pattern of cylinder 1
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3
|
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Compressive strength of cylinder 2
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3644.5 psi
|
|
Compressive strength of cylinder 3
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3154.3 psi
|
|
Type of fracture pattern of cylinder 2
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3
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Type of fracture pattern of cylinder 3
|
3
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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
|
1
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Correction factor for cylinder 2
|
1
|
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Correction factor for cylinder 3
|
1
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Age of specimen
|
7 days
|
|
Age of specimen in hours
|
no data0 hours
|
DIME Test ID: 2025-10-09-72-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/27/2025
Date Tested: 10/23/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
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
|
3.99 in
|
|
Average diameter of cylinder 2
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4.00 in
|
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Average diameter of cylinder 3
|
3.99 in
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Cross sectional area of cylinder 1
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12.5 in^2
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Cross sectional area of cylinder 2
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12.57 in^2
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Cross sectional area of cylinder 3
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12.5 in^2
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Compressive strength (to nearest 10 psi)
|
4710 psi
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Maximum load on cylinder 1
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60300 lb
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Maximum load on cylinder 2
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56790 lb
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Maximum load on cylinder 3
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59670 lb
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Compressive strength of cylinder 1
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4824.0 psi
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|
Type of fracture pattern of cylinder 1
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3
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Compressive strength of cylinder 2
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4517.9 psi
|
|
Compressive strength of cylinder 3
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4773.6 psi
|
|
Type of fracture pattern of cylinder 2
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3
|
|
Type of fracture pattern of cylinder 3
|
3
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|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
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Correction factor for cylinder 1
|
1
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Correction factor for cylinder 2
|
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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14 days
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Age of specimen in hours
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no data0 hours
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DIME Test ID: 2025-10-09-72-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/06/2025
Date Tested: 11/06/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
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
|
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Cross sectional area of cylinder 2
|
12.57 in^2
|
|
Cross sectional area of cylinder 3
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12.57 in^2
|
|
Compressive strength (to nearest 10 psi)
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5440 psi
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Maximum load on cylinder 1
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66090 lb
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Maximum load on cylinder 2
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69630 lb
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Maximum load on cylinder 3
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69400 lb
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Compressive strength of cylinder 1
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5257.8 psi
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Type of fracture pattern of cylinder 1
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3
|
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Compressive strength of cylinder 2
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5539.4 psi
|
|
Compressive strength of cylinder 3
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5521.1 psi
|
|
Type of fracture pattern of cylinder 2
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3
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Type of fracture pattern of cylinder 3
|
3
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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
|
1
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Correction factor for cylinder 3
|
1
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Age of specimen
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28 days
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Age of specimen in hours
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no data0 hours
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