Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001075 DEA: 040W0304 EFIS: 0420000164
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-580-0.02/6.3
Work Description: Replace existing tolling structure with open road tolling (ORT) system at the Richmond-San Rafael.
Location Description:
Contractor Name: FLATIRON WEST INC.
Contractor Address: 1200 Concord Ave Suite 465, Concord, CA 94520
Resident Engineer: William Sommer Structure Rep.: Alyssa Inocencio
DIME Sample ID: 2026-05-11-11
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3672 - Richmond
Sample Organization Contact: (510) 231-7108
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 05/11/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/11/2026
The quantity of what the sample constitutes: 48
A brief description of the sample: Concrete Test Samples
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shammock
The concrete mix design number: DDJE12S3
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: TBD
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of Truack
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-05-11-11-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/18/2026
Date Tested: 05/18/2026
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?
|
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)
|
4460 psi
|
|
Maximum load on cylinder 1
|
53880 lb
|
|
Maximum load on cylinder 2
|
58015 lb
|
|
Maximum load on cylinder 3
|
56175 lb
|
|
Compressive strength of cylinder 1
|
4286.4 psi
|
|
Type of fracture pattern of cylinder 1
|
5
|
|
Compressive strength of cylinder 2
|
4615.4 psi
|
|
Compressive strength of cylinder 3
|
4469 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
|
|
Correction factor for cylinder 1
|
1
|
|
Correction factor for cylinder 2
|
1
|
|
Correction factor for cylinder 3
|
1
|
|
Age of specimen
|
7 days
|
|
Age of specimen in hours
|
no data
|
DIME Test ID: 2026-05-11-11-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/26/2026
Date Tested: 05/25/2026
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?
|
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)
|
6010 psi
|
|
Maximum load on cylinder 1
|
75885 lb
|
|
Maximum load on cylinder 2
|
75105 lb
|
|
Maximum load on cylinder 3
|
75480 lb
|
|
Compressive strength of cylinder 1
|
6037.0 psi
|
|
Type of fracture pattern of cylinder 1
|
2
|
|
Compressive strength of cylinder 2
|
5974.9 psi
|
|
Compressive strength of cylinder 3
|
6004.8 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
|
|
Correction factor for cylinder 3
|
1
|
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Age of specimen
|
14 days
|
|
Age of specimen in hours
|
no data
|
DIME Test ID: 2026-05-11-11-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/08/2026
Date Tested: 06/08/2026
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
|
2
|
|
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
|
|
Cross sectional area of cylinder 1
|
12.57 in^2
|
|
Cross sectional area of cylinder 2
|
12.57 in^2
|
|
Compressive strength (to nearest 10 psi)
|
7450 psi
|
|
Maximum load on cylinder 1
|
91560 lb
|
|
Maximum load on cylinder 2
|
95715 lb
|
|
Compressive strength of cylinder 1
|
7284.0 psi
|
|
Type of fracture pattern of cylinder 1
|
3
|
|
Compressive strength of cylinder 2
|
7614.6 psi
|
|
Type of fracture pattern of cylinder 2
|
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
|
|
Age of specimen
|
28 days
|
|
Age of specimen in hours
|
no data
|
