Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001375 DEA: 040A53T4 EFIS: 0421000155 COOP: 040A53TCM
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-L1.8/L3.2
Work Description: Construct I-80 WB Truck Scales
Location Description: CONSTRUCTION ON STATE HIGHWAY IN SOLANO COUNTY IN AND NEAR FAIRFIELD ON ROUTE 12 FROM THE 80/12 EAST JUNCTION TO 0.9 MILE EAST OF CHADBOURNE ROAD UNDERCROSSING AND ON ROUTE 80 FROM 0.5 MILE WEST OF DAN WILSON CREEK BRIDGE TO WEST TEXAS STREET UNDERCROSSI
Contractor Name: Kiewit Infrastructure West Co.
Contractor Address: 4650 Business Center Drive, Fairfield, CA 94534
Resident Engineer: Darren Isada Structure Rep.: Nana Budu
DIME Sample ID: 2025-12-31-3
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Sample Organization Contact: 510-714-7055
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 12/31/2025
Date that the sample was received by the laboratory/organization performing the testing: 01/05/2026
The quantity of what the sample constitutes: 63 CY
A brief description of the sample: 457E75E1
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Central Concrete
The concrete mix design number: 457E75E1
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 82863909
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of Truck 2
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2025-12-31-3-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/07/2026
Date Tested: 01/07/2026
Submitted By Organization: CT HQ - Vallejo Field Laboratory
Organization Address: 690 Walnut,
Organization City: vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: yannick.aranas@dot.ca.gov
Organization Phone: (916) 639-4315
General Comments for this Test: Taken 2 set of cylinders 7 & 28 days. split into separate 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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Capped in accordance with?
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ASTM C1231 - Unbonded Elastomeric Pad Cap
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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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4810 psi
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Maximum load on cylinder 1
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59840 lb
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Maximum load on cylinder 2
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60590 lb
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Maximum load on cylinder 3
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61090 lb
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Compressive strength of cylinder 1
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4760.5 psi
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Type of fracture pattern of cylinder 1
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2
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Compressive strength of cylinder 2
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4820.2 psi
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Compressive strength of cylinder 3
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4860 psi
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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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Age of specimen in hours
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no data0 hours
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DIME Test ID: 2025-12-31-3-2
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 01/07/2026
Date Tested: 12/31/2025
Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: alejandro.lara@dot.ca.gov
Organization Phone: (510) 714-7055
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2025-12-31-3-3
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 01/07/2026
Date Tested: 12/31/2025
Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: alejandro.lara@dot.ca.gov
Organization Phone: (510) 714-7055
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2025-12-31-3-4
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 02/03/2026
Date Tested: 01/28/2026
Submitted By Organization: Quality Assurance Engineering, Inc dba Consolidated Engineering Laboratories
Organization Address: 690 Walnut,
Organization City: vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: yannick.aranas@dot.ca.gov
Organization Phone: (916) 639-4315
General Comments for this Test: Delivered to BA OQASI @ 01/05/2026
Test Result Compliance:
Additional Comments When Verified:
|
Unit system used?
|
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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|
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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7590 psi
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Maximum load on cylinder 1
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98120 lb
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Maximum load on cylinder 2
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95070 lb
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Maximum load on cylinder 3
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93110 lb
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Compressive strength of cylinder 1
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7805.9 psi
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Type of fracture pattern of cylinder 1
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3
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Compressive strength of cylinder 2
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7563.2 psi
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Compressive strength of cylinder 3
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7407.3 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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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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28 days
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Age of specimen in hours
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no data
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DIME Test ID: 2025-12-31-3-5
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 01/07/2026
Date Tested: 12/31/2025
Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: alejandro.lara@dot.ca.gov
Organization Phone: (510) 714-7055
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2025-12-31-3-6
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 01/07/2026
Date Tested: 12/31/2025
Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: alejandro.lara@dot.ca.gov
Organization Phone: (510) 714-7055
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Identification of concrete represented by the sample
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457E75E1
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Volume of the measure
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0.25 ft^3
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Density of concrete
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55.1 lb/ft^3
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Yield of concrete
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1 yd^3
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Relative yield of the batch
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no data
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Cement content
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571 lb/yd^3
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Air content
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2.1 %
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