Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001228 DEA: 074V5304 EFIS: 0724000203
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-47.9
Work Description: MODIFY DRAINAGE SYSTEM AND CONSTRUCT DPPIA.
Location Description: LOS ANGELES COUNTY IN CLAREMONT AT 0.1 MILE EAST OF SOUTH INDIAN HILL BOULEVARD
Contractor Name: BOSCO CONSTRUCTORS, INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2026-04-22-68
TL Number from the TL Form: 07-4V5304-01
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Annual Source Testing
Type of Material: Concrete
Sample Taken Date: 04/22/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/25/2026
The quantity of what the sample constitutes: 130 CY
A brief description of the sample: 4X8 PCC cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 26-107
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ROBERTSONS POMONA
The concrete mix design number: SC590B33
The truck number from where the sample was collected: 1
The batch plant ticket number from where the sample was collected: 1392497
Concrete batch plant: Robertsons Pomona
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: truck chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-04-22-68-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/20/2026
Date Tested: 05/20/2026
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
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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2
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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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4.01 in
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Average diameter of cylinder 2
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4.01 in
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Cross sectional area of cylinder 1
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12.63 in^2
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Cross sectional area of cylinder 2
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12.63 in^2
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Compressive strength (to nearest 10 psi)
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5250 psi
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Maximum load on cylinder 1
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65314 lb
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Maximum load on cylinder 2
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67324 lb
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Compressive strength of cylinder 1
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5171.3 psi
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Type of fracture pattern of cylinder 1
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2
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Compressive strength of cylinder 2
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5330.5 psi
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Type of fracture pattern of cylinder 2
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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
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1
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Correction factor for cylinder 2
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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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