Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000402 DEA: 11430384 EFIS: 1118000114
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-23.7/28.5
Work Description: REPLACE DRAINAGE, CONCRETE PAVEMENT, AND MODIFY ELECTRICAL SYSTEMS.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM 0.1 MILE NORTH OF ROUTE 805/52 SEPARATION TO ROUTE 5/805 SEPARATION
Contractor Name: HAZARD CONSTRUCTION ENGR, LLC
Contractor Address: 10529 VINE STREET, LAKESIDE, CA 92040
Resident Engineer: Karl Hartline Structure Rep.: Unknown
DIME Sample ID: 2025-06-02-127
TL Number from the TL Form:
Sample Submitted By Organization: G3 Quality, Incorporated - Cerritos
Sample Organization Contact: (562) 321-9840
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 06/02/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/03/2025
The quantity of what the sample constitutes: 6
A brief description of the sample: 6x12 Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 4HEX4BM
Structure unique identifier:
Structure name: N/B RTE 805 Lane 1 Approach Panel
The fabricator/manufacturer/facility name: Vanguard Construction
The concrete mix design number: 4HEX4BM
The truck number from where the sample was collected: Load 1
The batch plant ticket number from where the sample was collected: 0
Concrete batch plant: Vanguard Construction
The fabricator/manufacturer designation for the sample: Set 1
A detailed description of where the material sample was collected: N/B RTE 805 Lane 1 Approach Panel
Where the material sample would have been placed if not sampled:
From Lot No.: 1
Bag Lot No.: 1
DIME Test ID: 2025-06-02-127-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/19/2025
Date Tested: 06/03/2025
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
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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2
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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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6.00 in
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Average diameter of cylinder 2
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6.00 in
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Cross sectional area of cylinder 1
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28.27 in^2
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Cross sectional area of cylinder 2
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28.27 in^2
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Compressive strength (to nearest 10 psi)
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1320 psi
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Maximum load on cylinder 1
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36360 lb
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Maximum load on cylinder 2
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37810 lb
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Type of fracture pattern of cylinder 1
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5
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Type of fracture pattern of cylinder 2
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5
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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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Age of specimen
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1 days
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Age of specimen in hours
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no data0 hours
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DIME Test ID: 2025-06-02-127-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/19/2025
Date Tested: 06/09/2025
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Unit system used?
|
US Units
|
|
Number of specimens
|
2
|
|
Test performed
|
With no density determined
|
|
Capped in accordance with?
|
ASTM C617 - Sulfur Mortar Cap
|
|
Average diameter of cylinder 1
|
6.01 in
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Average diameter of cylinder 2
|
6.01 in
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Cross sectional area of cylinder 1
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28.37 in^2
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Cross sectional area of cylinder 2
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28.37 in^2
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Compressive strength (to nearest 10 psi)
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8150 psi
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Maximum load on cylinder 1
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233356 lb
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Maximum load on cylinder 2
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228577 lb
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Type of fracture pattern of cylinder 1
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2
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Type of fracture pattern of cylinder 2
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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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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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DIME Test ID: 2025-06-02-127-3
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 11/19/2025
Date Tested: 06/02/2025
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Unit weight of the concrete
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159.4 lb/ft^3
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Cement content
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no data0 lb/yd^3
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DIME Test ID: 2025-06-02-127-4
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 11/19/2025
Date Tested: 06/02/2025
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2025-06-02-127-5
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 11/19/2025
Date Tested: 06/02/2025
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2025-06-02-127-6
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 11/19/2025
Date Tested: 06/02/2025
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
