Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002051 DEA: 120T4604 EFIS: 1222000053
QA Service Level: 1
DIST-CO-RTE-PM: 12---unknown
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2026-03-13-31
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 03/13/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/14/2026
The quantity of what the sample constitutes: 6
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 26-0039
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown
The concrete mix design number: 5264125A
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: Unknown
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled: SB 55 Edinger Off Ramp
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-03-13-31-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 03/30/2026
Date Tested: 03/27/2026
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
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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3930 psi
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Maximum load on cylinder 1
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50310 lb
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Maximum load on cylinder 2
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47390 lb
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Maximum load on cylinder 3
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50380 lb
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Compressive strength of cylinder 1
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4002.4 psi
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Type of fracture pattern of cylinder 1
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5
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Compressive strength of cylinder 2
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3770.1 psi
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Compressive strength of cylinder 3
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4008 psi
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Type of fracture pattern of cylinder 2
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5
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Type of fracture pattern of cylinder 3
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5
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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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14 days
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Age of specimen in hours
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no data
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