Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994326 DEA: 051C3604 EFIS: 0512000134
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-217-0.9/1.4
Work Description: REPLACE BRIDGE.
Location Description: SANTA BARBARA COUNTY NEAR GOLETA FROM 0.2 MILE EAST OF GOLETA SLOUGH BRIDGE TO 0.4 MILE EAST OF SAN JOSE CREEK BRIDGE
Contractor Name: MCM CONSTRUCTION
Contractor Address: 6413 32nd Street, North Highlands, Ca 95660
Resident Engineer: Manny Yogarajah Structure Rep.: Fabian Velasco
DIME Sample ID: 2026-05-07-10
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Sample Organization Contact: (805) 621-3616
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 05/07/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/07/2026
The quantity of what the sample constitutes: 3 CY
A brief description of the sample: 1 x 4 PCC Aggregate
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CEMEX Santa Barbara
The concrete mix design number: 1629004
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 31983164
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:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-05-07-10-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 05/07/2026
Date Tested: 05/07/2026
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2026-05-07-10-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 05/07/2026
Date Tested: 05/07/2026
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2026-05-07-10-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/18/2026
Date Tested: 05/15/2026
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Unit system used?
|
US Units
|
|
Number of specimens
|
3
|
|
Test performed
|
With no density determined
|
|
Capped in accordance with?
|
ASTM C1231 - Unbonded Elastomeric Pad Cap
|
|
Average diameter of cylinder 1
|
4.00 in
|
|
Average diameter of cylinder 2
|
4.00 in
|
|
Average diameter of cylinder 3
|
4.00 in
|
|
Cross sectional area of cylinder 1
|
12.57 in^2
|
|
Cross sectional area of cylinder 2
|
12.57 in^2
|
|
Cross sectional area of cylinder 3
|
12.57 in^2
|
|
Compressive strength (to nearest 10 psi)
|
4870 psi
|
|
Maximum load on cylinder 1
|
60510 lb
|
|
Maximum load on cylinder 2
|
62360 lb
|
|
Maximum load on cylinder 3
|
60800 lb
|
|
Compressive strength of cylinder 1
|
4813.8 psi
|
|
Type of fracture pattern of cylinder 1
|
2
|
|
Compressive strength of cylinder 2
|
4961.0 psi
|
|
Compressive strength of cylinder 3
|
4836.9 psi
|
|
Type of fracture pattern of cylinder 2
|
2
|
|
Type of fracture pattern of cylinder 3
|
3
|
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
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
|
DIME Test ID: 2026-05-07-10-4
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/08/2026
Date Tested: 06/04/2026
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Unit system used?
|
US Units
|
|
Number of specimens
|
3
|
|
Test performed
|
With no density determined
|
|
Capped in accordance with?
|
ASTM C1231 - Unbonded Elastomeric Pad Cap
|
|
Average diameter of cylinder 1
|
4.01 in
|
|
Average diameter of cylinder 2
|
4.01 in
|
|
Average diameter of cylinder 3
|
4.01 in
|
|
Cross sectional area of cylinder 1
|
12.63 in^2
|
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Cross sectional area of cylinder 2
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12.63 in^2
|
|
Cross sectional area of cylinder 3
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12.63 in^2
|
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Compressive strength (to nearest 10 psi)
|
6650 psi
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|
Maximum load on cylinder 1
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85190 lb
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Maximum load on cylinder 2
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82980 lb
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Maximum load on cylinder 3
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83740 lb
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Compressive strength of cylinder 1
|
6745.1 psi
|
|
Type of fracture pattern of cylinder 1
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3
|
|
Compressive strength of cylinder 2
|
6570.1 psi
|
|
Compressive strength of cylinder 3
|
6630.2 psi
|
|
Type of fracture pattern of cylinder 2
|
3
|
|
Type of fracture pattern of cylinder 3
|
3
|
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
|
Correction factor for cylinder 1
|
1
|
|
Correction factor for cylinder 2
|
1
|
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Correction factor for cylinder 3
|
1
|
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Age of specimen
|
28 days
|
|
Age of specimen in hours
|
no data0 hours
|
