Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000903 DEA: 081M0404 EFIS: 0821000091
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R140.0/R142.2
Work Description: COLD PLANE AC & RHMA, VEGETATION CONTROL (MINOR CONC), MGS, AND HTCB.
Location Description: SAN BERNARDINO COUNTY IN NEEDLES FROM FOX WASH OVERFLOW TO L STREET UNDERCROSSING
Contractor Name: INTERSTATE CIVIL CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: Anthony Doan Structure Rep.: Jegbefume Adodo
DIME Sample ID: 2026-02-10-28
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: 02/10/2026
Date that the sample was received by the laboratory/organization performing the testing: 02/18/2026
The quantity of what the sample constitutes: 3
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: cemex
The concrete mix design number: cvt_4000 volumetric
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 321
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: various
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-02-10-28-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/08/2026
Date Tested: 03/10/2026
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
|
3
|
|
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
|
4.00 in
|
|
Average diameter of cylinder 2
|
4.00 in
|
|
Average diameter of cylinder 3
|
4.01 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
|
12.63 in^2
|
|
Compressive strength (to nearest 10 psi)
|
6500 psi
|
|
Maximum load on cylinder 1
|
81380 lb
|
|
Maximum load on cylinder 2
|
84090 lb
|
|
Maximum load on cylinder 3
|
79990 lb
|
|
Compressive strength of cylinder 1
|
6470.0 psi
|
|
Type of fracture pattern of cylinder 1
|
3
|
|
Compressive strength of cylinder 2
|
6690.0 psi
|
|
Compressive strength of cylinder 3
|
6330 psi
|
|
Type of fracture pattern of cylinder 2
|
3
|
|
Type of fracture pattern of cylinder 3
|
3
|
|
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
|
|
Correction factor for cylinder 3
|
1
|
|
Age of specimen
|
28 days
|
|
Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
