Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000663 DEA: 081J3304 EFIS: 0818000019
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD, -15-160.9/161.5
Work Description: BUILDING WORK.
Location Description: SAN BERNARDINO COUNTY NEAR MOUNTAIN PASS FROM 0.2 MILE SOUTH TO 0.4 MILE NORTH OF VALLEY WELLS SAFETY ROADSIDE REST AREA
Contractor Name: TSI ENGINEERING, INC.
Contractor Address: Unknown
Resident Engineer: Khoa Nguyen Structure Rep.: Unknown
DIME Sample ID: 2026-03-30-24
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: 03/30/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/01/2026
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:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hi Grade
The concrete mix design number: 0
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 8021129
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: NB Rest Area
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-03-30-24-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/07/2026
Date Tested: 04/06/2026
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?
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ASTM C39 - Ground End
|
|
Apparent mass of submerged cylinder 1
|
no data0 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
|
4.01 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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12.63 in^2
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Compressive strength (to nearest 10 psi)
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3220 psi
|
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Maximum load on cylinder 1
|
40180 lb
|
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Maximum load on cylinder 2
|
40620 lb
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Maximum load on cylinder 3
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40860 lb
|
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Compressive strength of cylinder 1
|
3200.0 psi
|
|
Type of fracture pattern of cylinder 1
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5
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Compressive strength of cylinder 2
|
3230.0 psi
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|
Compressive strength of cylinder 3
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3240 psi
|
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Type of fracture pattern of cylinder 2
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3
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Type of fracture pattern of cylinder 3
|
3
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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
|
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
|
7 days
|
|
Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
DIME Test ID: 2026-03-30-24-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/27/2026
Date Tested: 04/27/2026
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 C617 - Sulfur Mortar Cap
|
|
Apparent mass of submerged cylinder 1
|
no data0 lb
|
|
Average diameter of cylinder 1
|
3.99 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
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12.5 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)
|
4020 psi
|
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Maximum load on cylinder 1
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50010 lb
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Maximum load on cylinder 2
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49500 lb
|
|
Maximum load on cylinder 3
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51740 lb
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Compressive strength of cylinder 1
|
4000.0 psi
|
|
Type of fracture pattern of cylinder 1
|
2
|
|
Compressive strength of cylinder 2
|
3940.0 psi
|
|
Compressive strength of cylinder 3
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4120 psi
|
|
Type of fracture pattern of cylinder 2
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6
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Type of fracture pattern of cylinder 3
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2
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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
|
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
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no data0 days
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Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
