Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994675 DEA: 07390204 EFIS: 0722000334
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-47-0.4 / 2.1
Work Description: Bridge deck replacement with lightweight precast deck panels ultra high performance concrete. Also includes: replacement of seismic sensors, upgrades to median barrier, railings, fences and guard rails. New finger joints.
Location Description: RTE 47 between Terminal Island and San Pedro PM 0.4/2.1
Contractor Name: Skanska
Contractor Address: 1995 Agua Mansa Rd, Riverside, CA 92509
Resident Engineer: Sam Gallardo Structure Rep.: Sami Deeb
DIME Sample ID: 2026-02-24-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 02/24/2026
Date that the sample was received by the laboratory/organization performing the testing: 02/24/2026
The quantity of what the sample constitutes: 3- 6x12 Concrete cylinders
A brief description of the sample: Concrete Cylinders
From where was the sample collected: Fabricator
Laboratory sample identification: 1088-224EQ
Structure unique identifier:
Structure name: Trial batch
The fabricator/manufacturer/facility name: Coreslab Strcutures
The concrete mix design number: 2556-1-TB
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 2556
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: SCC- Light weight concrete
Where the material sample would have been placed if not sampled: L88-002-26
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-02-24-2-4
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: 05/12/2026
Date Tested: 04/13/2026
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: EQUILIBRIUM DENSITY:
1. 111.5 PCF
2. 109.2 PCF
3. 109.7 PCF
Final weights were taken 4/13/26 and had less than 0.5% change in mass from previous weight.
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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0.79 in^2
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Cross sectional area of cylinder 2
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0.79 in^2
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Cross sectional area of cylinder 3
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0.79 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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10 psi
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Average diameter of cylinder 1
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1.00 in
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Average diameter of cylinder 2
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1.00 in
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Compressive strength of cylinder 1
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12.7 psi
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Compressive strength of cylinder 2
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12.7 psi
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Average diameter of cylinder 3
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1.00 in
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Compressive strength of cylinder 3
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12.7 psi
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Maximum load on cylinder 1
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10 lb
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Maximum load on cylinder 2
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10 lb
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Maximum load on cylinder 3
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10 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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35 days
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