Sample Record for 2025-06-17-169
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000365 DEA: 033H9014 EFIS: 0323000075
QA Service Level: 1
DIST-CO-RTE-PM: 03-SOL,YOL-50,80,113-Var
Work Description: HMA, RHMA, SIGN STRUCTURE, CAMERA SYSTEMS, & FO CABLE SYSTEMS.
Location Description: SOLANO AND YOLO COUNTIES AT VARIOUS LOCATIONS
Contractor Name: DESILVA GATES CONSTRUCTION, LLC
Contractor Address: 3855 North Freeway Boulevard, Suite 100, Sacramento, CA 95834
Resident Engineer: Joseph Wild Structure Rep.: Michael Charak
Sample Information
DIME Sample ID: 2025-06-17-169
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: 06/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/18/2025
The quantity of what the sample constitutes: 4
A brief description of the sample: 4x8 Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1626827 Set 1
Structure unique identifier:
Structure name: Sign A4, STA 240+50
The fabricator/manufacturer/facility name: Cemex Fairfield
Material Information
The concrete mix design number: 16286827
The truck number from where the sample was collected: Load 2
The batch plant ticket number from where the sample was collected: 31643756
Concrete batch plant: Cemex
The fabricator/manufacturer designation for the sample: Set 1
A detailed description of where the material sample was collected: Sign A4, STA 240+50
Where the material sample would have been placed if not sampled: Sign A4
From Lot No.: 1
Bag Lot No.: 1
Test Results
Test 1 of 4
DIME Test ID: 2025-06-17-169-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/21/2025
Date Tested: 07/15/2025
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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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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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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9360 psi
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Maximum load on cylinder 1
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116440 lb
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Maximum load on cylinder 2
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120760 lb
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Maximum load on cylinder 3
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115510 lb
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Type of fracture pattern of cylinder 1
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3
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Type of fracture pattern of cylinder 2
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2
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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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Test 2 of 4
DIME Test ID: 2025-06-17-169-2
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 11/21/2025
Date Tested: 06/17/2025
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 weight of the concrete
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131.92 lb/ft^3
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Cement content
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no data0 lb/yd^3
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Test 3 of 4
DIME Test ID: 2025-06-17-169-3
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 11/21/2025
Date Tested: 06/17/2025
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:
Test 4 of 4
DIME Test ID: 2025-06-17-169-4
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 11/21/2025
Date Tested: 06/17/2025
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:
