Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000604 DEA: 07355604 EFIS: 0719000014
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-105-R2.0
Work Description: CONSTRUCT A MAINTENANCE EQUIPMENT TRAINING CENTER.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES AT 0.1 MILE WEST OF ROUTE 105/405 SEPARATION
Contractor Name: GRIFFITH COMPANY
Contractor Address: Unknown
Resident Engineer: Shahnam Shahriari Structure Rep.: Quan Ho
DIME Sample ID: 2025-12-10-32
TL Number from the TL Form:
Sample Submitted By Organization: Jensen Precast - Fontana
Sample Organization Contact: 9096095937
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 12/10/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/10/2025
The quantity of what the sample constitutes: 2 yards
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Jensen Precast
The concrete mix design number: 19
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 2025121010009
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: concrete samples from wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-12-10-32-1
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617 - Sulfur Mortar Cap Cured in accordance with ASTM C511
Verified Date: 12/18/2025
Date Tested: 12/31/1969
Submitted By Organization: Jensen Precast - Fontana
Organization Address: 14221 San Bernardino Ave,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92335
Organization Email: avali@jensenprecast.com
Organization Phone: (909) 609-5937
General Comments for this Test:
Test Result Compliance:
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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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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Capped in accordance with?
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ASTM C617 - Sulfur Mortar Cap
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Compressive strength (to nearest 10 psi)
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7480 psi
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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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Maximum load on cylinder 1
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94828 lb
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Maximum load on cylinder 2
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92002 lb
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Maximum load on cylinder 3
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94840 lb
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Type of fracture pattern of cylinder 1
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2
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Type of fracture pattern of cylinder 2
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2
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Type of fracture pattern of cylinder 3
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2
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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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7 days
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