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: 2026-05-19-77
TL Number from the TL Form: 201054
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: 05/19/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/21/2026
The quantity of what the sample constitutes: 9 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 Hydronics Slab (Interior)
The fabricator/manufacturer/facility name: Sierra Tahoe Ready Mix
The concrete mix design number: D673A
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: Unknown
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:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-05-19-77-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/16/2026
Date Tested: 05/26/2026
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:
|
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
|
4.02 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
|
12.69 in^2
|
|
Compressive strength (to nearest 10 psi)
|
1930 psi
|
|
Maximum load on cylinder 1
|
25850 lb
|
|
Maximum load on cylinder 2
|
22600 lb
|
|
Maximum load on cylinder 3
|
24600 lb
|
|
Compressive strength of cylinder 1
|
2050.0 psi
|
|
Type of fracture pattern of cylinder 1
|
2
|
|
Compressive strength of cylinder 2
|
1790.0 psi
|
|
Compressive strength of cylinder 3
|
1940 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
|
7 days
|
|
Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
DIME Test ID: 2026-05-19-77-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/16/2026
Date Tested: 06/02/2026
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:
|
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
|
4.00 in
|
|
Average diameter of cylinder 3
|
4.00 in
|
|
Cross sectional area of cylinder 1
|
12.69 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)
|
2890 psi
|
|
Maximum load on cylinder 1
|
37160 lb
|
|
Maximum load on cylinder 2
|
37620 lb
|
|
Maximum load on cylinder 3
|
34580 lb
|
|
Compressive strength of cylinder 1
|
2930.0 psi
|
|
Type of fracture pattern of cylinder 1
|
2
|
|
Compressive strength of cylinder 2
|
2990.0 psi
|
|
Compressive strength of cylinder 3
|
2750 psi
|
|
Type of fracture pattern of cylinder 2
|
1
|
|
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
|
14 days
|
|
Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
DIME Test ID: 2026-05-19-77-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/16/2026
Date Tested: 06/16/2026
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:
|
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)
|
4120 psi
|
|
Maximum load on cylinder 1
|
54160 lb
|
|
Maximum load on cylinder 2
|
50120 lb
|
|
Maximum load on cylinder 3
|
51100 lb
|
|
Compressive strength of cylinder 1
|
4310.0 psi
|
|
Type of fracture pattern of cylinder 1
|
2
|
|
Compressive strength of cylinder 2
|
3990.0 psi
|
|
Compressive strength of cylinder 3
|
4070 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
|
28 days
|
|
Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
