Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001608 DEA: 01464804 EFIS: 0100000266
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-1.1/2.5
Work Description: INSTALL SOLDIER PILE WALL, AND REMOVE AND REPLACE ROADWAY SECTION.
Location Description: HUMBOLDT COUNTY NEAR GARBERVILLE FROM 0.5 MILE SOUTH TO 0.9 MILE NORTH OF RICHARDSON GROVE UNDERCROSSING
Contractor Name: MERCER FRASER COMPANY
Contractor Address: PO Box 1006, Eureka, CA 95502
Resident Engineer: Cody Long Structure Rep.: Emma Oppen
DIME Sample ID: 2026-07-17-26
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 07/17/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/20/2026
The quantity of what the sample constitutes: 95 CY
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer-Fraser — Plant B (Fortuna, CA)
The concrete mix design number: MFSCL1675.45 4500 PSI
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 115016
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: 2026-07-17-26-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/24/2026
Date Tested: 07/24/2026
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: 7/24/26 7 day break
Test Result Compliance:
Additional Comments When Verified:
|
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
|
With no density determined
|
|
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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4.00 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
|
12.57 in^2
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Compressive strength (to nearest 10 psi)
|
5660 psi
|
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Maximum load on cylinder 1
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74284 lb
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Maximum load on cylinder 2
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69465 lb
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Maximum load on cylinder 3
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69815 lb
|
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Type of fracture pattern of cylinder 1
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2
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Type of fracture pattern of cylinder 2
|
2
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Type of fracture pattern of cylinder 3
|
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
|
1
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Correction factor for cylinder 2
|
1
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Correction factor for cylinder 3
|
1
|
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Age of specimen
|
7 days
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Age of specimen in hours
|
no data0 hours
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DIME Test ID: 2026-07-17-26-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/14/2026
Date Tested: 08/14/2026
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: 8/14/26 28 day break
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
|
|
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)
|
7060 psi
|
|
Maximum load on cylinder 1
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85141 lb
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Maximum load on cylinder 2
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86965 lb
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Maximum load on cylinder 3
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94151 lb
|
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Type of fracture pattern of cylinder 1
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2
|
|
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)
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no data
|
|
Correction factor for cylinder 1
|
1
|
|
Correction factor for cylinder 2
|
1
|
|
Correction factor for cylinder 3
|
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
|
DIME Test ID: 2026-07-17-26-3
Test Method: CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement Concrete
Verified Date: 07/20/2026
Date Tested: 07/17/2026
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Temperature of the freshly mixed concrete
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69 F
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