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Sample Record for 2025-12-10-27

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

Project Information

Project ID: 1000663 DEA: 081J3304 EFIS: 0818000019 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD, -15-160.9/161.5
Work Description: BUILDING WORK.
Location Description: SAN BERNARDINO COUNTY NEAR MOUNTAIN PASS FROM 0.2 MILE SOUTH TO 0.4 MILE NORTH OF VALLEY WELLS SAFETY ROADSIDE REST AREA
Contractor Name: TSI ENGINEERING, INC.
Contractor Address: Unknown
Resident Engineer: Khoa Nguyen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-12-10-27
TL Number from the TL Form: 1086-1210
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: 12/10/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/12/2025
The quantity of what the sample constitutes: 6
A brief description of the sample: CONCRETE CYLINDERS
From where was the sample collected: Job Site
Laboratory sample identification: 1086-1210
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HI GRADE

Material Information

The concrete mix design number: N
The truck number from where the sample was collected: 1
The batch plant ticket number from where the sample was collected: 8017977
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: NB AND SB VALLEY WELLS REST AREA CONCRETE SLABS
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-12-10-27-1
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: 12/17/2025
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 3
Test performed With no density determined
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 12.63 in^2
Capped in accordance with? ASTM C1231 - Unbonded Elastomeric Pad Cap
Compressive strength (to nearest 10 psi) 2200 psi
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
Compressive strength of cylinder 1 2189.3 psi
Compressive strength of cylinder 2 2249.0 psi
Average diameter of cylinder 3 4.01 in
Compressive strength of cylinder 3 2168.6 psi
Maximum load on cylinder 1 27520 lb
Maximum load on cylinder 2 28270 lb
Maximum load on cylinder 3 27390 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 3
Type of fracture pattern of cylinder 3 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
Correction factor for cylinder 3 1
Age of specimen 7 days

Test 2 of 2

DIME Test ID: 2025-12-10-27-2
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: 01/21/2026
Date Tested: 01/07/2026
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 3
Test performed With no density determined
Cross sectional area of cylinder 1 12.63 in^2
Cross sectional area of cylinder 2 12.57 in^2
Cross sectional area of cylinder 3 12.63 in^2
Capped in accordance with? ASTM C1231 - Unbonded Elastomeric Pad Cap
Compressive strength (to nearest 10 psi) 2750 psi
Average diameter of cylinder 1 4.01 in
Average diameter of cylinder 2 4.00 in
Compressive strength of cylinder 1 2742.7 psi
Compressive strength of cylinder 2 2797.1 psi
Average diameter of cylinder 3 4.01 in
Compressive strength of cylinder 3 2703.1 psi
Maximum load on cylinder 1 34640 lb
Maximum load on cylinder 2 35160 lb
Maximum load on cylinder 3 34140 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 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
Correction factor for cylinder 3 1
Age of specimen 28 days