Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000698 DEA: 024H0704 EFIS: 0218000074
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-139-0.74/11.0
Work Description: PLACE HMA (TYPE A), TRAFFIC CONTROL SYSTEM, TRAFFIC STRIPE, RDWY EXC.
Location Description: LASSEN COUNTY NEAR SUSANVILLE FROM 0.1 MILE NORTH OF CHESTNUT STREET TO 2.6 MILES SOUTH OF HORSE LAKE ROAD
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: Unknown
Resident Engineer: Daniel Gibbs Structure Rep.: Tooraj Yegan
DIME Sample ID: 2025-05-21-136
TL Number from the TL Form:
Sample Submitted By Organization: CT D02 - Red Bluff Field Laboratory
Sample Organization Contact: (530) 605-5865
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 05/21/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/22/2025
The quantity of what the sample constitutes: 6 Cylinders 4x8
A brief description of the sample: Concrete Test Samples
From where was the sample collected: Job Site
Laboratory sample identification: TL-502-263596-001
Structure unique identifier:
Structure name: Barrier Slab
The fabricator/manufacturer/facility name: White Cap Ready Mix
The concrete mix design number: WC 688
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: C-18552
Concrete batch plant: Portolla
The fabricator/manufacturer designation for the sample: White Cap Ready Mix
A detailed description of where the material sample was collected: Mix Truck
Where the material sample would have been placed if not sampled: Barrier wall
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-05-21-136-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/11/2025
Date Tested: 06/18/2025
Submitted By Organization: CT D02 - Red Bluff Field Laboratory
Organization Address: 13700 highway 36E ,
Organization City: Red Bluff
Organization State: CA
Organization Zipcode: 96080
Organization Email: brandon.white@dot.ca.gov
Organization Phone: (530) 605-5865
General Comments for this Test:
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 C617 - Sulfur Mortar Cap
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Apparent mass of submerged cylinder 1
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no data0 lb
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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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6490 psi
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Maximum load on cylinder 1
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81300 lb
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Maximum load on cylinder 2
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82280 lb
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Maximum load on cylinder 3
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81060 lb
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Compressive strength of cylinder 1
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6470.0 psi
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Type of fracture pattern of cylinder 1
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4
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Compressive strength of cylinder 2
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6550.0 psi
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Compressive strength of cylinder 3
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6450 psi
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Type of fracture pattern of cylinder 2
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4
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Type of fracture pattern of cylinder 3
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4
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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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Serial number of delivery ticket, if available
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C-18552
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