Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000117 DEA: 020J0104 EFIS: 0219000044
QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-99-4.2/4.8
Work Description: PLACE HMA, CCTV TOWER AND INSTALL LIGHTING SYSTEM.
Location Description: TEHAMA COUNTY ABOUT 7.0 MILES SOUTH OF LOS MOLINOS FROM 0.3 MILE SOUTH OF SOUTH AVENUE TO 0.6 MILE SOUTH OF VINA ROAD
Contractor Name: BALDWIN CONTRACTING COMPANY, INC. DBA KNIFE RIVER CONSTRUCTION
Contractor Address: 1764 Skyway, Chico, CA 95928
Resident Engineer: Edward Worden Structure Rep.: Chris Brace
DIME Sample ID: 2025-06-10-130
TL Number from the TL Form: TL-502-165621
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: 06/10/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/11/2025
The quantity of what the sample constitutes: 6 4x8 Cylinders
A brief description of the sample: Concrete Test Samples
From where was the sample collected: Job Site
Laboratory sample identification: 003
Structure unique identifier:
Structure name: Box Culvert
The fabricator/manufacturer/facility name: Mathews Ready Mix
The concrete mix design number: 06316P15
The truck number from where the sample was collected: 0727
The batch plant ticket number from where the sample was collected: 17034940
Concrete batch plant: 1619 Chico
The fabricator/manufacturer designation for the sample: Mathews order 2030
A detailed description of where the material sample was collected: concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled: Box Culvert
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-06-10-130-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/16/2025
Date Tested: 07/08/2025
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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4930 psi
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Maximum load on cylinder 1
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60050 lb
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Maximum load on cylinder 2
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63130 lb
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Maximum load on cylinder 3
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62670 lb
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Compressive strength of cylinder 1
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4780.0 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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5020.0 psi
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Compressive strength of cylinder 3
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4990 psi
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Type of fracture pattern of cylinder 2
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3
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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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Bonded caps
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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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17034940
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