Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000437 DEA: 034H9704 EFIS: 0319000128
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-5500-
Work Description: HEATING VENTILATION AND AIR CONDITIONING REPLACEMENT, ROOF REPAIR.
Location Description: SACRAMENTO COUNTY IN RANCHO CORDOVA AT THE REGIONAL TRANSPORTATION MANAGEMENT CENTER, 3165 GOLD VALLEY DRIVE
Contractor Name: CREEKSIDE COMMERCIAL BUILDERS, INC.
Contractor Address: Unknown
Resident Engineer: Brian Thompson Structure Rep.: Gustavo Angel Zaragoza
DIME Sample ID: 2025-09-29-55
TL Number from the TL Form: 293958
Sample Submitted By Organization: CT SC - 3665 - Shingle Springs
Sample Organization Contact: (530) 821-8266
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/29/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/03/2025
The quantity of what the sample constitutes: 3 cylinders
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: TMC Sidewalk
The fabricator/manufacturer/facility name: Livingston's
The concrete mix design number: 650213
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 25-000257
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-09-29-55-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/31/2025
Date Tested: 10/27/2025
Submitted By Organization: CT SC - 3665 - Shingle Springs
Organization Address: 3976 Durock Road, Suite 102,
Organization City: Shingle Springs
Organization State: CA
Organization Zipcode: 95686
Organization Email: brandon.miller@dot.ca.gov
Organization Phone: (530) 821-8266
General Comments for this Test: Testing Performed by D10 Stockton Cherokee Lab
Test Result Compliance:
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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Apparent mass of submerged cylinder 1
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no data0 lb
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Average diameter of cylinder 1
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4.00 in
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Average diameter of cylinder 2
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4.00 in
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Average diameter of cylinder 3
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4.00 in
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Cross sectional area of cylinder 1
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12.57 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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12.57 in^2
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Compressive strength (to nearest 10 psi)
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4230 psi
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Maximum load on cylinder 1
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54430 lb
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Maximum load on cylinder 2
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53000 lb
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Maximum load on cylinder 3
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52170 lb
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Compressive strength of cylinder 1
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4330.0 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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4220.0 psi
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Compressive strength of cylinder 3
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4150 psi
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Type of fracture pattern of cylinder 2
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3
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Type of fracture pattern of cylinder 3
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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
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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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28 days
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Age of specimen in hours
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no data0 hours
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Serial number of delivery ticket, if available
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no data
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