Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000903 DEA: 081M0404 EFIS: 0821000091
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R140.0/R142.2
Work Description: COLD PLANE AC & RHMA, VEGETATION CONTROL (MINOR CONC), MGS, AND HTCB.
Location Description: SAN BERNARDINO COUNTY IN NEEDLES FROM FOX WASH OVERFLOW TO L STREET UNDERCROSSING
Contractor Name: INTERSTATE CIVIL CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: Anthony Doan Structure Rep.: Jegbefume Adodo
DIME Sample ID: 2025-12-02-18
TL Number from the TL Form: 1084-122
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 12/02/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/04/2025
The quantity of what the sample constitutes: 4
A brief description of the sample: CONCRETE CYLINDERS
From where was the sample collected: Job Site
Laboratory sample identification: 1084-122
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: INTERSTATE CIVIL
The concrete mix design number: ICVT-4000
The truck number from where the sample was collected: NA
The batch plant ticket number from where the sample was collected: 1
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: EB I40 PM 141.96
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-12-02-18-1
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C1231 - Unbonded Elastomeric Pad Cap Cured in accordance with ASTM C511
Verified Date: 12/22/2025
Date Tested: 12/09/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
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
|
|
Cross sectional area of cylinder 1
|
27.99 in^2
|
|
Cross sectional area of cylinder 2
|
27.99 in^2
|
|
Capped in accordance with?
|
ASTM C1231 - Unbonded Elastomeric Pad Cap
|
|
Compressive strength (to nearest 10 psi)
|
3200 psi
|
|
Average diameter of cylinder 1
|
5.97 in
|
|
Average diameter of cylinder 2
|
5.97 in
|
|
Compressive strength of cylinder 1
|
3287.2 psi
|
|
Compressive strength of cylinder 2
|
3110.2 psi
|
|
Maximum load on cylinder 1
|
92010 lb
|
|
Maximum load on cylinder 2
|
87055 lb
|
|
Type of fracture pattern of cylinder 1
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5
|
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Type of fracture pattern of cylinder 2
|
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
|
|
Age of specimen
|
7 days
|
DIME Test ID: 2025-12-02-18-2
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C1231 - Unbonded Elastomeric Pad Cap Cured in accordance with ASTM C511
Verified Date: 01/12/2026
Date Tested: 12/30/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
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
|
|
Cross sectional area of cylinder 1
|
28.18 in^2
|
|
Cross sectional area of cylinder 2
|
27.99 in^2
|
|
Capped in accordance with?
|
ASTM C1231 - Unbonded Elastomeric Pad Cap
|
|
Compressive strength (to nearest 10 psi)
|
5390 psi
|
|
Average diameter of cylinder 1
|
5.99 in
|
|
Average diameter of cylinder 2
|
5.97 in
|
|
Compressive strength of cylinder 1
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5340.3 psi
|
|
Compressive strength of cylinder 2
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5443.7 psi
|
|
Maximum load on cylinder 1
|
150490 lb
|
|
Maximum load on cylinder 2
|
152370 lb
|
|
Type of fracture pattern of cylinder 1
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2
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Type of fracture pattern of cylinder 2
|
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
|
|
Age of specimen
|
28 days
|
