Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000369 DEA: 09378804 EFIS: 0919000002
QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-395-R9.8/R12.6
Work Description: PLACE HMA AND ASPHALT BASE, RECYCLE PAVEMENT AND MODIFY ELECTRICAL.
Location Description: MONO COUNTY NEAR TOM\\\\'S PLACE FROM 0.5 MILE NORTH OF LOWER ROCK CREEK ROAD TO 1.3 MILES SOUTH OF SOUTH LANDING OVERCROSSING
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: Unknown
Resident Engineer: David Carruba Structure Rep.: Unknown
DIME Sample ID: 2025-10-21-55
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/21/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/22/2025
The quantity of what the sample constitutes: 250 cy
A brief description of the sample: 3 PCC Cylinders 4 x 8
From where was the sample collected: Job Site
Laboratory sample identification: PCC-003
Structure unique identifier:
Structure name: Light pole
The fabricator/manufacturer/facility name: 7/11
The concrete mix design number: 0
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 0
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: First portion of truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-10-21-55-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/26/2025
Date Tested: 11/24/2025
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: PCC-003
Test Result Compliance: complies
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 C1231 - Unbonded Elastomeric Pad 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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3630 psi
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Maximum load on cylinder 1
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44940 lb
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Maximum load on cylinder 2
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43620 lb
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Maximum load on cylinder 3
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48380 lb
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Compressive strength of cylinder 1
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3575.2 psi
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Type of fracture pattern of cylinder 1
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1
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Compressive strength of cylinder 2
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3470.2 psi
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Compressive strength of cylinder 3
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3848.8 psi
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Type of fracture pattern of cylinder 2
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1
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Type of fracture pattern of cylinder 3
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1
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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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34 days
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Age of specimen in hours
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no data0 hours
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