Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000199 DEA: 050N7054 EFIS: 0518000111
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-10.4/11.1
Work Description: South Coast 101 HOV Lanes Project 4E South- Santa Barbara
Location Description:
Contractor Name: Granite Construction Company
Contractor Address: PO Box 6744, Santa Barbara, CA 93160
Resident Engineer: Luobao Cai Structure Rep.: Faris Malik
DIME Sample ID: 2026-05-07-63
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: 450 CY
A brief description of the sample: Concrete Test Sample
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Padaro Concrete Plant
The concrete mix design number: 386
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 12907
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: 2026-05-07-63-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 05/29/2026
Date Tested: 05/08/2026
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: 2026-05-07-63-2
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 05/29/2026
Date Tested: 05/08/2026
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: 2026-05-07-63-3
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 05/29/2026
Date Tested: 05/08/2026
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: 2026-05-07-63-4
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 06/24/2026
Date Tested: 05/18/2026
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: does not comply
Additional Comments When Verified:
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Number of specimens
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2
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Unit system used?
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US Units
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Does the testing machine measure load or stress on the beam specimen?
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Load
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Fracture initiates in the tension surface
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Within the Middle Third of the Span Length
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Is a beam dimensional correction factor used?
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Yes
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Modulus of rupture average
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535 psi
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Modulus of rupture
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535 psi
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Modulus of rupture 2
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535 psi
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Age of specimen
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10 days
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DIME Test ID: 2026-05-07-63-5
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/24/2026
Date Tested: 06/18/2026
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:
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Unit system used?
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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
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Capped in accordance with?
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ASTM C1231 - Unbonded Elastomeric Pad 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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Average diameter of cylinder 3
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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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Cross sectional area of cylinder 3
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12.63 in^2
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Compressive strength (to nearest 10 psi)
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6290 psi
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Maximum load on cylinder 1
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78770 lb
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Maximum load on cylinder 2
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80850 lb
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Maximum load on cylinder 3
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78580 lb
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Compressive strength of cylinder 1
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6236.7 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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6401.4 psi
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Compressive strength of cylinder 3
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6221.7 psi
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Type of fracture pattern of cylinder 2
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2
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Type of fracture pattern of cylinder 3
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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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Correction factor for cylinder 3
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1
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Age of specimen
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42 days
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Age of specimen in hours
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no data0 hours
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