Sample Record for 2026-09-30-6
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001403 DEA: 11430824 EFIS: 1119000162
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R66.2/R67.4
Work Description: PCC & HMA PAVING, SIGNS AND STRIPING, WSMS & AUTOMATED LANE CLOSURE.
Location Description: SAN DIEGO COUNTY ABOUT 12 MILES NORTH OF OCEANSIDE FROM 1.2 MILES SOUTH OF SAN ONOFRE COMMERCIAL VEHICLE ENFORCEMENT FACILITIES TO SAN ONOFRE COMMERCIAL VEHICLE ENFORCEMENT FACILITIES
Contractor Name: Montano Pipeline
Contractor Address: 231 Fourth Ave, Chula Vista, CA 91910
Resident Engineer: Rosemarie Pagunsan Structure Rep.: Allison Harizal
Sample Information
DIME Sample ID: 2026-09-30-6
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/30/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/25/2026
The quantity of what the sample constitutes: 3 cylinders
A brief description of the sample: CRCP
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertson's San Clemente
Material Information
The concrete mix design number: RRM 24043
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: CRCP
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test Results
Test
DIME Test ID: 2026-09-30-6-2
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 10/02/2026
Date Tested: 10/01/2026
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Complies Target 1.5 ( +/-* 1.0% )
Test Result Compliance: complies
Additional Comments When Verified:
Test
DIME Test ID: 2026-09-30-6-3
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 10/08/2026
Date Tested: 10/01/2026
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Unit weight of the concrete
|
148.2 lb/ft^3
|
|
Cement content
|
682 lb/yd^3
|
Test
DIME Test ID: 2026-09-30-6-4
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 10/02/2026
Date Tested: 09/30/2026
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Complies Target 4" ( +/- 1 " ) Kelly Ball
Test Result Compliance: complies
Additional Comments When Verified:
Test
DIME Test ID: 2026-09-30-6-5
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 10/02/2026
Date Tested: 10/01/2026
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Complies Target 4" (+/- 1" ) Slump Cone
Test Result Compliance: complies
Additional Comments When Verified:
Test
DIME Test ID: 2026-09-30-6-6
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 10/02/2026
Date Tested: 10/01/2026
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Complies
Test Result Compliance: complies
Additional Comments When Verified:
