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Sample Record for 2025-12-12-25

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

Project Information

Project ID: 995493 DEA: 081G6704 EFIS: 0816000049 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-79-5.4/11.4
Work Description: HOT MIX ASPHALT, SOIL NAIL, STRUCTURAL CONCRETE AND ROADWAY EXC.
Location Description: RIVERSIDE COUNTY NEAR TEMECULA FROM 0.4 MILE SOUTH OF SAGE ROAD TO 1.1 MILES SOUTH OF PAUBA ROAD
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 CUSHING STE 200, IRVINE, CA 92618
Resident Engineer: Osama Abdalla Structure Rep.: Arnel Vega

Sample Information

DIME Sample ID: 2025-12-12-25
TL Number from the TL Form:
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: 12/12/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/17/2025
The quantity of what the sample constitutes: 8
A brief description of the sample: 4x8
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: np

Material Information

The concrete mix design number: np
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: np
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: RW #349 footing
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2025-12-12-25-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/22/2025
Date Tested: 12/19/2025
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
Capped in accordance with? ASTM C1231 - Unbonded Elastomeric Pad Cap
Apparent mass of submerged cylinder 1 no data0 lb
Average diameter of cylinder 1 4.02 in
Average diameter of cylinder 2 4.02 in
Cross sectional area of cylinder 1 12.69 in^2
Cross sectional area of cylinder 2 12.69 in^2
Compressive strength (to nearest 10 psi) 4220 psi
Maximum load on cylinder 1 54800 lb
Maximum load on cylinder 2 52110 lb
Compressive strength of cylinder 1 4320.0 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 4110.0 psi
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 7 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data

Test 2 of 3

DIME Test ID: 2025-12-12-25-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/26/2025
Date Tested: 12/26/2025
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
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Apparent mass of submerged cylinder 1 no data0 lb
Average diameter of cylinder 1 4.02 in
Average diameter of cylinder 2 4.02 in
Cross sectional area of cylinder 1 12.69 in^2
Cross sectional area of cylinder 2 12.69 in^2
Compressive strength (to nearest 10 psi) 5000 psi
Maximum load on cylinder 1 62220 lb
Maximum load on cylinder 2 64720 lb
Compressive strength of cylinder 1 4900.0 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 5100.0 psi
Type of fracture pattern of cylinder 2 1
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 14 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data

Test 3 of 3

DIME Test ID: 2025-12-12-25-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/12/2026
Date Tested: 01/09/2026
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 2
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Apparent mass of submerged cylinder 1 no data0 lb
Average diameter of cylinder 1 4.02 in
Average diameter of cylinder 2 4.02 in
Cross sectional area of cylinder 1 12.69 in^2
Cross sectional area of cylinder 2 12.69 in^2
Compressive strength (to nearest 10 psi) 5510 psi
Maximum load on cylinder 1 69720 lb
Maximum load on cylinder 2 70140 lb
Compressive strength of cylinder 1 5490.0 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 5530.0 psi
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 28 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2025-12-12-25-4ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens12/17/202501/23/2026Jose GuzmanCT D08 - Fontana Southern Regional LaboratoryJose Mendez