Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993798 DEA: 09366804 EFIS: 0916000021
QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-117.3/117.9
Work Description: MEADOW FARMS ADA
Location Description: INYO COUNTY NEAR BISHOP FROM 0.1 MILE EAST OF SEE VEE LANE TO BARLOW LANE
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. BOX 2210, PISMO BEACH, CA 93448-2210
Resident Engineer: Adam Zumstein Structure Rep.: Mulugheta Belay
DIME Sample ID: 2026-03-11-73
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 03/11/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/12/2026
The quantity of what the sample constitutes: 6 PCC Cylinders
A brief description of the sample: 4x6 Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: PCC-006
Structure unique identifier:
Structure name: Abutments
The fabricator/manufacturer/facility name: 7/11
The concrete mix design number: 0000
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 01
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: First Portion of Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-03-11-73-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 04/09/2026
Date Tested: 04/09/2026
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test:
Test Result Compliance: complies
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 C1231 - Unbonded Elastomeric Pad Cap
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Average diameter of cylinder 1
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3.99 in
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Average diameter of cylinder 2
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3.99 in
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Average diameter of cylinder 3
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3.99 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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12.5 in^2
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Cross sectional area of cylinder 3
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12.5 in^2
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Compressive strength (to nearest 10 psi)
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3750 psi
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Maximum load on cylinder 1
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46290 lb
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Maximum load on cylinder 2
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47520 lb
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Maximum load on cylinder 3
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46690 lb
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Compressive strength of cylinder 1
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3703.2 psi
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Type of fracture pattern of cylinder 1
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1
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Compressive strength of cylinder 2
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3801.6 psi
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Compressive strength of cylinder 3
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3735.2 psi
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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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28 days
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Age of specimen in hours
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no data0 hours
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