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Sample Record for 2025-11-21-3

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

Project Information

Project ID: 1000731 DEA: 042Q4404 EFIS: 0419000013 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-121-6.5,8.4
Work Description: REMOVE BR AND AC SURF, CONSTRUCT BR DECK, RAILING AND POLYESTER CONC.
Location Description: SONOMA COUNTY NEAR SONOMA AT YELLOW CREEK BRIDGE AND AT ARROYO SECO BRIDGE
Contractor Name: GORDON N. BALL, INC.
Contractor Address: Unknown
Resident Engineer: Fabio La Serna Structure Rep.: Jeremy Light

Sample Information

DIME Sample ID: 2025-11-21-3
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3672 - Novato Field Office
Sample Organization Contact: (916) 621-8033
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 11/21/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/21/2025
The quantity of what the sample constitutes: 18 CY
A brief description of the sample: 3 4x8 cylinders
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 20-0021
Structure name: YELLOW CREEK BRIDGE Approach Slab+Barrier Footing Southbound
The fabricator/manufacturer/facility name: Shamrock Materials Inc

Material Information

The concrete mix design number: H7511503
The truck number from where the sample was collected: 2454
The batch plant ticket number from where the sample was collected: 427272
Concrete batch plant: 138
The fabricator/manufacturer designation for the sample: Shamrock Materials
A detailed description of where the material sample was collected: Back of Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 4

DIME Test ID: 2025-11-21-3-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Submitted By Organization: CT SC - 3672 - Novato Field Office
Organization Address: 384 Bel Marin Keys Boulevard, Suite 200,
Organization City: Novato
Organization State: CA
Organization Zipcode: 94949
Organization Email: josh.velono@dot.ca.gov
Organization Phone: (916) 621-8033
Data has not been verified.

Test 2 of 4

DIME Test ID: 2025-11-21-3-2
Test Method: ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: CT SC - 3672 - Novato Field Office
Organization Address: 384 Bel Marin Keys Boulevard, Suite 200,
Organization City: Novato
Organization State: CA
Organization Zipcode: 94949
Organization Email: josh.velono@dot.ca.gov
Organization Phone: (916) 621-8033
Data has not been verified.

Test 3 of 4

DIME Test ID: 2025-11-21-3-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/24/2025
Date Tested: 11/24/2025
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:
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) 6800 psi
Maximum load on cylinder 1 85940 lb
Maximum load on cylinder 2 84295 lb
Maximum load on cylinder 3 86150 lb
Compressive strength of cylinder 1 6836.9 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 6706.0 psi
Compressive strength of cylinder 3 6853.6 psi
Type of fracture pattern of cylinder 2 5
Type of fracture pattern of cylinder 3 3
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 3 days
Age of specimen in hours no data

Test 4 of 4

DIME Test ID: 2025-11-21-3-4
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/03/2025
Date Tested: 12/01/2025
Submitted By Organization: Quality Assurance Engineering, Inc dba Consolidated Engineering Laboratories
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: 7 day break changed to 10 day due to holiday
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 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
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) 10290 psi
Maximum load on cylinder 1 130060 lb
Maximum load on cylinder 2 128320 lb
Maximum load on cylinder 3 129670 lb
Compressive strength of cylinder 1 10346.9 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 10208.4 psi
Compressive strength of cylinder 3 10315.8 psi
Type of fracture pattern of cylinder 2 3
Type of fracture pattern of cylinder 3 3
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 10 days
Age of specimen in hours no data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2025-11-21-3-5ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens11/21/202512/19/2025Mohammed Salman AlamCT HQ - Vallejo Field Laboratory