Sample Record for 2026-03-03-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000703 DEA: 11430194 EFIS: 1118000001
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-15-0.4/R10.2
Work Description: CULVERT RESTORATION, TUNNEL CO MONITORING SYSTEM, & ADA RAMP.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM 0.2 MILE SOUTH OF ROUTE 5/15 SEPARATION TO 0.4 MILE SOUTH OF ROUTE 52/15 SEPARATION.
Contractor Name: HAZARD CONSRUCTION ENGR, LLC
Contractor Address: 10529 Vine street, Lakeside CA, 92040
Resident Engineer: Genaro Genel-Trujillo Structure Rep.: Anh Ma
Sample Information
DIME Sample ID: 2026-03-03-2
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 03/03/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/03/2026
The quantity of what the sample constitutes: Field Sample
A brief description of the sample: Field Sample
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CalPortland Miramar
Material Information
The concrete mix design number: 00336362
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 1
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Field Sample
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test Results
Test 1 of 4
DIME Test ID: 2026-03-03-2-1
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 03/05/2026
Date Tested: 03/03/2026
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Test 2 of 4
DIME Test ID: 2026-03-03-2-2
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 03/05/2026
Date Tested: 03/03/2026
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Test 3 of 4
DIME Test ID: 2026-03-03-2-3
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 03/05/2026
Date Tested: 03/03/2026
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Unit weight of the concrete
|
145.2 lb/ft^3
|
|
Cement content
|
696.25 lb/yd^3
|
Test 4 of 4
DIME Test ID: 2026-03-03-2-4
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 03/05/2026
Date Tested: 03/03/2026
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2026-03-03-2-6 | CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders | 03/03/2026 | 03/10/2026 | Ben Haney | CT D11 - District 11 Materials Laboratory | 7 Day | Shawn Rivers |
| 2026-03-03-2-7 | CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders | 03/03/2026 | 03/17/2026 | Ben Haney | CT D11 - District 11 Materials Laboratory | 14 Day | Shawn Rivers |
| 2026-03-03-2-8 | CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders | 03/03/2026 | 04/01/2026 | Ben Haney | CT D11 - District 11 Materials Laboratory | 28 Day | Shawn Rivers |
| 2026-03-03-2-9 | CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders | 03/03/2026 | 04/14/2026 | Ben Haney | CT D11 - District 11 Materials Laboratory | 42 Day | Shawn Rivers |
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