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Sample Record for 2025-10-30-35

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

Project Information

Project ID: 1001789 DEA: 043X5704 EFIS: 0425000286 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-116-
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-10-30-35
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3672 - Santa Rosa
Sample Organization Contact: (510) 774-6009
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/30/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/30/2025
The quantity of what the sample constitutes: 8CY
A brief description of the sample: Type II Cement
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Canyon ROCK

Material Information

The concrete mix design number: 72105003R
The truck number from where the sample was collected: 261
The batch plant ticket number from where the sample was collected: 1763682
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: bucket
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2025-10-30-35-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/07/2025
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: These cylinders are marked as 1/6,2/6, and 3/6
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) 2810 psi
Maximum load on cylinder 1 34630 lb
Maximum load on cylinder 2 34950 lb
Maximum load on cylinder 3 36450 lb
Compressive strength of cylinder 1 2755.0 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 2780.4 psi
Compressive strength of cylinder 3 2899.8 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 7 days
Age of specimen in hours no data0 hours

Test 2 of 2

DIME Test ID: 2025-10-30-35-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/26/2025
Date Tested: 11/25/2025
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: These cylinders are established from 4/6, 5/6, and 6/6 cylinders with a sharpy notes in the cylinder. Testing on day 27 due to holiday conflict.
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) 5120 psi
Maximum load on cylinder 1 61200 lb
Maximum load on cylinder 2 64835 lb
Maximum load on cylinder 3 67055 lb
Compressive strength of cylinder 1 4868.7 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 5157.9 psi
Compressive strength of cylinder 3 5334.5 psi
Type of fracture pattern of cylinder 2 3
Type of fracture pattern of cylinder 3 5
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 27 days
Age of specimen in hours no data