Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001383 DEA: 010P9004 EFIS: 0125000088
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-36-19.1/20.1
Work Description: REPAIR STORM DAMAGE. REPAIR ROADWAY EMBANKMENT WITH RETAINING WALL
Location Description: IN HUMBOLDT COUNTY NEAR BRIDGEVILLE FROM 1.1 TO 0.1 MILE WEST OF VAN DUZEN RIVER BRIDGE.
Contractor Name: JF Shea Construction
Contractor Address: Unknown
Resident Engineer: Joseph Lasensky Structure Rep.: Jordan St. John
DIME Sample ID: 2026-09-03-14
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: Verification
Type of Material: Concrete
Sample Taken Date: 09/03/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/04/2026
The quantity of what the sample constitutes: 60 cy
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification: C0458
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser - Fortuna
The concrete mix design number: MF CL 1 .40 SLAG AE
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 115770
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of the truck Chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-09-03-14-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/10/2026
Date Tested: 09/10/2026
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: 9/10/26 7 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?
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ASTM C1231 - Unbonded Elastomeric Pad Cap
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|
Average diameter of cylinder 1
|
4.02 in
|
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Average diameter of cylinder 2
|
4.02 in
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|
Average diameter of cylinder 3
|
4.02 in
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Cross sectional area of cylinder 1
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12.69 in^2
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Cross sectional area of cylinder 2
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12.69 in^2
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Cross sectional area of cylinder 3
|
12.69 in^2
|
|
Compressive strength (to nearest 10 psi)
|
5940 psi
|
|
Maximum load on cylinder 1
|
74700 lb
|
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Maximum load on cylinder 2
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75558 lb
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Maximum load on cylinder 3
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75988 lb
|
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Type of fracture pattern of cylinder 1
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1
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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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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
|
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
|
DIME Test ID: 2026-09-03-14-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/01/2026
Date Tested: 10/01/2026
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: 10/1/26 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)
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7940 psi
|
|
Maximum load on cylinder 1
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99426 lb
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Maximum load on cylinder 2
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103322 lb
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Maximum load on cylinder 3
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96705 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
|
|
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
|
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Correction factor for cylinder 3
|
1
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Age of specimen
|
28 days
|
|
Age of specimen in hours
|
no data0 hours
|
