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Sample Record for 2026-08-26-21

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

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

Sample Information

DIME Sample ID: 2026-08-26-21
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 Assurance
Type of Material: Concrete
Sample Taken Date: 08/26/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/27/2026
The quantity of what the sample constitutes: 14 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)

Material Information

The concrete mix design number: MFSCL1675.45 4500 PSI
The truck number from where the sample was collected: 685
The batch plant ticket number from where the sample was collected: 115671
Concrete batch plant: Mercer Fraser Fortuna
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: Barrier Rail
From Lot No.:
Bag Lot No.:

Test Results

Test

DIME Test ID: 2026-08-26-21-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/02/2026
Date Tested: 09/02/2026
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 Day Break 9/2/26
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) 5700 psi
Maximum load on cylinder 1 72792 lb
Maximum load on cylinder 2 66910 lb
Maximum load on cylinder 3 75193 lb
Type of fracture pattern of cylinder 1 3
Type of fracture pattern of cylinder 2 3
Type of fracture pattern of cylinder 3 3
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 4 days
Age of specimen in hours no data0 hours

Test

DIME Test ID: 2026-08-26-21-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/23/2026
Date Tested: 09/23/2026
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: 28 Day Break 9/23/26
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) 6850 psi
Maximum load on cylinder 1 87356 lb
Maximum load on cylinder 2 87855 lb
Maximum load on cylinder 3 83058 lb
Type of fracture pattern of cylinder 1 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) 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

Test

DIME Test ID: 2026-08-26-21-3
Test Method: CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement Concrete
Verified Date: 08/27/2026
Date Tested: 08/27/2026
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:
Temperature of the freshly mixed concrete 79 F