Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993678 DEA: 042Q8004 EFIS: 0419000050 COOP: 042836,042944
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101,92-US 101 & SR 92-10.9/12.1 & 11.8/13.4
Work Description: US 101/SR 92 INTERCHANGE AREA IMPROVEMENT :PROJECT WILL CONSTRUCT CONGESTION RELIEF IMPROVEMENTS AT THE US 101/SR 92 INTERCHANGE AREA.
Location Description:
Contractor Name: GORDON N. BALL, INC.
Contractor Address: 333 CAMILLE AVENUE, ALAMO, CA 94507
Resident Engineer: Mohamed Fouad Structure Rep.: Bryan Nagid
DIME Sample ID: 2026-02-26-30
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3674 - Pacifica 2
Sample Organization Contact: (510) 714-7639
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 02/26/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/06/2026
The quantity of what the sample constitutes: 2
A brief description of the sample: Structural concrete (5,000psi)
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Graniterock Redwood City Plant
The concrete mix design number: 577750E6
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 150903
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete sampled from truck chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-02-26-30-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 03/12/2026
Date Tested: 03/12/2026
Submitted By Organization: CT HQ - Vallejo Field Laboratory
Organization Address: 690 Walnut,
Organization City: vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: yannick.aranas@dot.ca.gov
Organization Phone: (916) 639-4315
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?
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ASTM C1231 - Unbonded Elastomeric Pad Cap
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|
Apparent mass of submerged cylinder 1
|
9 lb
|
|
Average diameter of cylinder 1
|
4.01 in
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Average diameter of cylinder 2
|
4.02 in
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Average diameter of cylinder 3
|
4.02 in
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Cross sectional area of cylinder 1
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12.63 in^2
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Cross sectional area of cylinder 2
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12.69 in^2
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Cross sectional area of cylinder 3
|
12.69 in^2
|
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Compressive strength (to nearest 10 psi)
|
4910 psi
|
|
Maximum load on cylinder 1
|
63550 lb
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Maximum load on cylinder 2
|
60645 lb
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Maximum load on cylinder 3
|
62438 lb
|
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Compressive strength of cylinder 1
|
5030.0 psi
|
|
Type of fracture pattern of cylinder 1
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5
|
|
Compressive strength of cylinder 2
|
4780.0 psi
|
|
Compressive strength of cylinder 3
|
4920 psi
|
|
Type of fracture pattern of cylinder 2
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3
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Type of fracture pattern of cylinder 3
|
3
|
|
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
|
14 days
|
|
Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
DIME Test ID: 2026-02-26-30-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 03/30/2026
Date Tested: 03/26/2026
Submitted By Organization: Quality Assurance Engineering, Inc dba Consolidated Engineering Laboratories
Organization Address: 690 Walnut,
Organization City: vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: yannick.aranas@dot.ca.gov
Organization Phone: (916) 639-4315
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 C617 - Sulfur Mortar Cap
|
|
Apparent mass of submerged cylinder 1
|
9 lb
|
|
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
|
12.57 in^2
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Cross sectional area of cylinder 2
|
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)
|
5600 psi
|
|
Maximum load on cylinder 1
|
70920 lb
|
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Maximum load on cylinder 2
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69940 lb
|
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Maximum load on cylinder 3
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70460 lb
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Compressive strength of cylinder 1
|
5640.0 psi
|
|
Type of fracture pattern of cylinder 1
|
3
|
|
Compressive strength of cylinder 2
|
5560.0 psi
|
|
Compressive strength of cylinder 3
|
5610 psi
|
|
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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3
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Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
|
|
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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28 days
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Age of specimen in hours
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no data0 hours
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|
Serial number of delivery ticket, if available
|
no data
|
