Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000403 DEA: 120K91U4 EFIS: 1222000031
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-91-R9.2/R11.4
Work Description: CONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS.
Location Description: ORANGE COUNTY IN ANAHEIM FROM 0.9 MILE WEST TO 1.3 MILES EAST OF LAKEVIEW AVENUE OVERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 16700 Valley View Avenue Suite 300
Resident Engineer: Steve Kinaly Structure Rep.: Wei-Jen Lee
DIME Sample ID: 2026-02-04-22
TL Number from the TL Form:
Sample Submitted By Organization: Con-Fab California Corporation - Shafter
Sample Organization Contact: (661) 630-7162
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 02/04/2026
Date that the sample was received by the laboratory/organization performing the testing: 02/04/2026
The quantity of what the sample constitutes: 4.85 CY
A brief description of the sample: T-II/V Cement
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Con-Fab California, LLC - Shafter
The concrete mix design number: SCC-S9.8-FG
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 6864
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Sampled from wheelbarrow collected from chute of ready mix truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-02-04-22-1
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 02/06/2026
Date Tested: 02/04/2026
Submitted By Organization: Con-Fab California Corporation - Shafter
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Identification of concrete represented by the sample
|
CAWF 72 PT Girder
|
|
Volume of the measure
|
0.25 ft^3
|
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Density of concrete
|
153.1 lb/ft^3
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Yield of concrete
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no data
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Relative yield of the batch
|
no data
|
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Cement content
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no data
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Air content
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no data
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DIME Test ID: 2026-02-04-22-2
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 02/06/2026
Date Tested: 02/04/2026
Submitted By Organization: Con-Fab California Corporation - Shafter
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2026-02-04-22-3
Test Method: ASTM C1611-21: Standard Test Method for Slump Flow of Self-Consolidating Concrete
Verified Date: 02/06/2026
Date Tested: 02/04/2026
Submitted By Organization: Con-Fab California Corporation - Shafter
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
What unit system is used for measurements?
|
inches
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Slump Flow
|
22 in
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Filling the mold procedure
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Filling Procedure B (Inverted Mold)
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Diameter 1
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22 in
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Diameter 2
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22 in
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Visual Stability Index
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no data0
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DIME Test ID: 2026-02-04-22-4
Test Method: CTM TEMP1-16: Test Method for Monitoring Precast Concrete Curing Temperature (Curing temperature)
Verified Date: 02/06/2026
Date Tested: 02/04/2026
Submitted By Organization: Con-Fab California Corporation - Shafter
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Precast Maximum Curing Temperature
|
149 °F
|
DIME Test ID: 2026-02-04-22-5
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 02/06/2026
Date Tested: 02/04/2026
Submitted By Organization: Con-Fab California Corporation - Shafter
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2026-02-04-22-6
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 03/04/2026
Date Tested: 02/05/2026
Submitted By Organization: Con-Fab California Corporation - Shafter
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Unit system used?
|
US Units
|
|
Number of specimens
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3
|
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Test performed
|
With no density determined
|
|
Capped in accordance with?
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ASTM C1231 - Unbonded Elastomeric Pad Cap
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Apparent mass of submerged cylinder 1
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8.9 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
|
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)
|
6710 psi
|
|
Maximum load on cylinder 1
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80601 lb
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Maximum load on cylinder 2
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86999 lb
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Maximum load on cylinder 3
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85332 lb
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|
Type of fracture pattern of cylinder 1
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6
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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
|
1
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Correction factor for cylinder 2
|
1
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Correction factor for cylinder 3
|
1
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Age of specimen
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no data0 days
|
|
Age of specimen in hours
|
14 hours
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|
Serial number of delivery ticket, if available
|
no data
|
DIME Test ID: 2026-02-04-22-7
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 03/04/2026
Date Tested: 02/11/2026
Submitted By Organization: Con-Fab California Corporation - Shafter
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
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
|
|
Capped in accordance with?
|
ASTM C1231 - Unbonded Elastomeric Pad Cap
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|
Apparent mass of submerged cylinder 1
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9 lb
|
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Average diameter of cylinder 1
|
4.00 in
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Average diameter of cylinder 2
|
4.00 in
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Average diameter of cylinder 3
|
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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9840 psi
|
|
Maximum load on cylinder 1
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123067 lb
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|
Maximum load on cylinder 2
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126791 lb
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|
Maximum load on cylinder 3
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121285 lb
|
|
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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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)
|
no data
|
|
Correction factor for cylinder 1
|
1
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|
Correction factor for cylinder 2
|
1
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Correction factor for cylinder 3
|
1
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Age of specimen
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7 days
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Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
DIME Test ID: 2026-02-04-22-8
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 03/04/2026
Date Tested: 03/04/2026
Submitted By Organization: Con-Fab California Corporation - Shafter
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
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
|
|
Capped in accordance with?
|
ASTM C1231 - Unbonded Elastomeric Pad Cap
|
|
Apparent mass of submerged cylinder 1
|
9 lb
|
|
Average diameter of cylinder 1
|
4.00 in
|
|
Average diameter of cylinder 2
|
4.00 in
|
|
Average diameter of cylinder 3
|
4.00 in
|
|
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
|
12.57 in^2
|
|
Compressive strength (to nearest 10 psi)
|
11450 psi
|
|
Maximum load on cylinder 1
|
150568 lb
|
|
Maximum load on cylinder 2
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141453 lb
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|
Maximum load on cylinder 3
|
139646 lb
|
|
Type of fracture pattern of cylinder 1
|
2
|
|
Type of fracture pattern of cylinder 2
|
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)
|
no data
|
|
Correction factor for cylinder 1
|
1
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|
Correction factor for cylinder 2
|
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
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
