Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002012 DEA: 034J4304 EFIS: 0323000146
QA Service Level: 1
DIST-CO-RTE-PM: 03-UNKNOWN--
Work Description: Building Construction
Location Description: KYBURZ MAINTENANCE STATION AT 13561 HIGHWAY 50
Contractor Name: Dawood Kavosh
Contractor Address: 2002 Elijah St, Fairfield2002 Elijah St, Fairfield, CA 94533, CA 94533
Resident Engineer: Spencer Adams Structure Rep.: Unknown
DIME Sample ID: 2026-04-29-67
TL Number from the TL Form: 115102
Sample Submitted By Organization: CT SC - 3665 - Shingle Springs
Sample Organization Contact: (530) 821-8266
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 04/29/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/01/2026
The quantity of what the sample constitutes: 12 Cylinders
A brief description of the sample: 4x8 Concrete Cylinders
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Kyburz Maintenance Station Structural Slab
The fabricator/manufacturer/facility name: Sierra Tahoe Ready Mix
The concrete mix design number: D673A
The truck number from where the sample was collected: 9
The batch plant ticket number from where the sample was collected: 96428
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Chute
Where the material sample would have been placed if not sampled: Structural Slab
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-04-29-67-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/28/2026
Date Tested: 05/01/2026
Submitted By Organization: CT SC - 3665 - Shingle Springs
Organization Address: 3976 Durock Road, Suite 102,
Organization City: Shingle Springs
Organization State: CA
Organization Zipcode: 95686
Organization Email: brandon.miller@dot.ca.gov
Organization Phone: (530) 821-8266
General Comments for this Test: Tested by D10 - Cherokee Lab
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
|
|
Apparent mass of submerged cylinder 1
|
no data0 lb
|
|
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)
|
1130 psi
|
|
Maximum load on cylinder 1
|
14170 lb
|
|
Maximum load on cylinder 2
|
14040 lb
|
|
Maximum load on cylinder 3
|
14440 lb
|
|
Compressive strength of cylinder 1
|
1130.0 psi
|
|
Type of fracture pattern of cylinder 1
|
2
|
|
Compressive strength of cylinder 2
|
1120.0 psi
|
|
Compressive strength of cylinder 3
|
1150 psi
|
|
Type of fracture pattern of cylinder 2
|
2
|
|
Type of fracture pattern of cylinder 3
|
2
|
|
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
|
2 days
|
|
Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
DIME Test ID: 2026-04-29-67-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/28/2026
Date Tested: 05/05/2026
Submitted By Organization: CT SC - 3665 - Shingle Springs
Organization Address: 3976 Durock Road, Suite 102,
Organization City: Shingle Springs
Organization State: CA
Organization Zipcode: 95686
Organization Email: brandon.miller@dot.ca.gov
Organization Phone: (530) 821-8266
General Comments for this Test: Tested by D10 - Cherokee Lab
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
|
|
Apparent mass of submerged cylinder 1
|
no data0 lb
|
|
Average diameter of cylinder 1
|
4.01 in
|
|
Average diameter of cylinder 2
|
4.02 in
|
|
Average diameter of cylinder 3
|
4.01 in
|
|
Cross sectional area of cylinder 1
|
12.63 in^2
|
|
Cross sectional area of cylinder 2
|
12.69 in^2
|
|
Cross sectional area of cylinder 3
|
12.63 in^2
|
|
Compressive strength (to nearest 10 psi)
|
2230 psi
|
|
Maximum load on cylinder 1
|
29330 lb
|
|
Maximum load on cylinder 2
|
28380 lb
|
|
Maximum load on cylinder 3
|
26960 lb
|
|
Compressive strength of cylinder 1
|
2320.0 psi
|
|
Type of fracture pattern of cylinder 1
|
2
|
|
Compressive strength of cylinder 2
|
2240.0 psi
|
|
Compressive strength of cylinder 3
|
2130 psi
|
|
Type of fracture pattern of cylinder 2
|
2
|
|
Type of fracture pattern of cylinder 3
|
2
|
|
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
|
6 days
|
|
Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
DIME Test ID: 2026-04-29-67-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/28/2026
Date Tested: 05/13/2026
Submitted By Organization: CT SC - 3665 - Shingle Springs
Organization Address: 3976 Durock Road, Suite 102,
Organization City: Shingle Springs
Organization State: CA
Organization Zipcode: 95686
Organization Email: brandon.miller@dot.ca.gov
Organization Phone: (530) 821-8266
General Comments for this Test: Tested by D10 - Cherokee Lab
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
|
|
Apparent mass of submerged cylinder 1
|
no data0 lb
|
|
Average diameter of cylinder 1
|
4.02 in
|
|
Average diameter of cylinder 2
|
4.03 in
|
|
Average diameter of cylinder 3
|
4.02 in
|
|
Cross sectional area of cylinder 1
|
12.69 in^2
|
|
Cross sectional area of cylinder 2
|
12.76 in^2
|
|
Cross sectional area of cylinder 3
|
12.69 in^2
|
|
Compressive strength (to nearest 10 psi)
|
3600 psi
|
|
Maximum load on cylinder 1
|
45900 lb
|
|
Maximum load on cylinder 2
|
45980 lb
|
|
Maximum load on cylinder 3
|
45320 lb
|
|
Compressive strength of cylinder 1
|
3620.0 psi
|
|
Type of fracture pattern of cylinder 1
|
2
|
|
Compressive strength of cylinder 2
|
3600.0 psi
|
|
Compressive strength of cylinder 3
|
3570 psi
|
|
Type of fracture pattern of cylinder 2
|
5
|
|
Type of fracture pattern of cylinder 3
|
5
|
|
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
|
14 days
|
|
Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
DIME Test ID: 2026-04-29-67-4
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/28/2026
Date Tested: 05/27/2026
Submitted By Organization: CT SC - 3665 - Shingle Springs
Organization Address: 3976 Durock Road, Suite 102,
Organization City: Shingle Springs
Organization State: CA
Organization Zipcode: 95686
Organization Email: brandon.miller@dot.ca.gov
Organization Phone: (530) 821-8266
General Comments for this Test: Tested by D10 - Cherokee Lab
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
|
|
Apparent mass of submerged cylinder 1
|
no data0 lb
|
|
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
|
|
Cross sectional area of cylinder 2
|
12.63 in^2
|
|
Cross sectional area of cylinder 3
|
12.63 in^2
|
|
Compressive strength (to nearest 10 psi)
|
4970 psi
|
|
Maximum load on cylinder 1
|
64340 lb
|
|
Maximum load on cylinder 2
|
62780 lb
|
|
Maximum load on cylinder 3
|
61440 lb
|
|
Compressive strength of cylinder 1
|
5090.0 psi
|
|
Type of fracture pattern of cylinder 1
|
3
|
|
Compressive strength of cylinder 2
|
4970.0 psi
|
|
Compressive strength of cylinder 3
|
4860 psi
|
|
Type of fracture pattern of cylinder 2
|
3
|
|
Type of fracture pattern of cylinder 3
|
5
|
|
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
|
no data0 days
|
|
Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
DIME Test ID: 2026-04-29-67-5
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 05/28/2026
Date Tested: 04/29/2026
Submitted By Organization: CT SC - 3665 - Shingle Springs
Organization Address: 3976 Durock Road, Suite 102,
Organization City: Shingle Springs
Organization State: CA
Organization Zipcode: 95686
Organization Email: brandon.miller@dot.ca.gov
Organization Phone: (530) 821-8266
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2026-04-29-67-6
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 05/28/2026
Date Tested: 04/29/2026
Submitted By Organization: CT SC - 3665 - Shingle Springs
Organization Address: 3976 Durock Road, Suite 102,
Organization City: Shingle Springs
Organization State: CA
Organization Zipcode: 95686
Organization Email: brandon.miller@dot.ca.gov
Organization Phone: (530) 821-8266
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
