Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002051 DEA: 120T4604 EFIS: 1222000053
QA Service Level: 1
DIST-CO-RTE-PM: 12---unknown
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2026-04-23-61
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 04/23/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/24/2026
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: 26-0079
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown
The concrete mix design number: 5264125A
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 2019726
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: SB Rte 55 Edinger Ave Off Ramp Propane Pad
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-04-23-61-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/21/2026
Date Tested: 05/07/2026
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Unit system used?
|
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
|
|
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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4.00 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
|
4.00 in
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|
Cross sectional area of cylinder 1
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12.57 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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12.57 in^2
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Compressive strength (to nearest 10 psi)
|
4790 psi
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Maximum load on cylinder 1
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61090 lb
|
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Maximum load on cylinder 2
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60270 lb
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Maximum load on cylinder 3
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58940 lb
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Compressive strength of cylinder 1
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4860.0 psi
|
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Type of fracture pattern of cylinder 1
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3
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Compressive strength of cylinder 2
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4821.6 psi
|
|
Compressive strength of cylinder 3
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4688.9 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
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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
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1
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Correction factor for cylinder 2
|
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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14 days
|
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Age of specimen in hours
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no data0 hours
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DIME Test ID: 2026-04-23-61-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/21/2026
Date Tested: 05/21/2026
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
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 C617 - Sulfur Mortar Cap
|
|
Average diameter of cylinder 1
|
3.98 in
|
|
Average diameter of cylinder 2
|
3.99 in
|
|
Average diameter of cylinder 3
|
4.00 in
|
|
Cross sectional area of cylinder 1
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12.44 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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12.57 in^2
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Compressive strength (to nearest 10 psi)
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5240 psi
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Maximum load on cylinder 1
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65290 lb
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Maximum load on cylinder 2
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62740 lb
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Maximum load on cylinder 3
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68410 lb
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Compressive strength of cylinder 1
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5248.4 psi
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Type of fracture pattern of cylinder 1
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3
|
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Compressive strength of cylinder 2
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5019.2 psi
|
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Compressive strength of cylinder 3
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5442.3 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
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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
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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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