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: 2026-06-16-7
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: 06/16/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/16/2026
The quantity of what the sample constitutes: 9
A brief description of the sample: Column Bent 2
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shamrock
The concrete mix design number: D68115S1
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 1
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-06-16-7-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/23/2026
Date Tested: 06/23/2026
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:
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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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Apparent mass of submerged cylinder 1
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9 lb
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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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4.00 in
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Average diameter of cylinder 3
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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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12.57 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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4760 psi
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Maximum load on cylinder 1
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60760 lb
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Maximum load on cylinder 2
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60475 lb
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Maximum load on cylinder 3
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58485 lb
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Compressive strength of cylinder 1
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4830.0 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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4810.0 psi
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Compressive strength of cylinder 3
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4650 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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no data0 days
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Age of specimen in hours
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no data0 hours
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Serial number of delivery ticket, if available
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no data
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