Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001028 DEA: 07317804 EFIS: 0715000274 COOP: 075065
QA Service Level: 2
DIST-CO-RTE-PM: 07-VEN-34-6.3
Work Description: Construct grade separation structure and connector ramps
Location Description: SR34 and Rice Avenue, Oxnard
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Azizollah Maghsoudloo
DIME Sample ID: 2026-01-27-34
TL Number from the TL Form:
Sample Submitted By Organization: Surecast West
Sample Organization Contact: (951) 491-9506
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 01/27/2026
Date that the sample was received by the laboratory/organization performing the testing: 01/28/2026
The quantity of what the sample constitutes: 10.75 CY
A brief description of the sample: TYPE I /II
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CEMEX REDLANDS
The concrete mix design number: 1610974
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 31876615
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: CONCRETE SAMPLE FROM WHEELBARROW
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-01-27-34-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 02/12/2026
Date Tested: 02/10/2026
Submitted By Organization: Surecast West
Organization Address: 8203 Alabama Street,
Organization City: Redlands
Organization State: CA
Organization Zipcode: 92373
Organization Email: cody@surecastwest.com
Organization Phone: (951) 491-9506
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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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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5610 psi
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Maximum load on cylinder 1
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70340 lb
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Maximum load on cylinder 2
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71440 lb
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Maximum load on cylinder 3
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69690 lb
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Type of fracture pattern of cylinder 1
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1
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Type of fracture pattern of cylinder 2
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1
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Type of fracture pattern of cylinder 3
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1
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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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9 days
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Age of specimen in hours
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no data0 hours
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