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Sample Record for 2021-01-04-3

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

Project Information

Project ID: 214873 DEA: 010F3104 EFIS: 0115000108 QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-39.8
Work Description: REMOVE REINFORCED CONCRETE BOX CULVERT AND CONSTRUCT BRIDGE.
Location Description: DEL NORTE COUNTY NEAR SMITH RIVER AT DOMINIE CREEK
Contractor Name: MCCULLOUGH CONSTRUCTION INC
Contractor Address: 57 Alder Grove Road, Arcata, CA 95521
Resident Engineer: Karen Sanders Structure Rep.: Brian Cinkutis

Sample Information

DIME Sample ID: 2021-01-04-3
TL Number from the TL Form:
Sample Submitted By Organization: Kie-Con, Incorporated - Antioch
Sample Organization Contact: (925) 331-7122
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 01/04/2021
Date that the sample was received by the laboratory/organization performing the testing: 01/05/2021
The quantity of what the sample constitutes: 35.3 CY
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: KIE-CON, INC

Material Information

The concrete mix design number: K6080-603 V1
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 108942
Concrete batch plant:
The fabricator/manufacturer designation for the sample: 20-060 1/4/2021
A detailed description of where the material sample was collected: Concrete sample from wheelbarrow
Where the material sample would have been placed if not sampled: Box Girder
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2021-01-04-3-1
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/08/2021
Date Tested: 01/05/2020
Submitted By Organization: Kie-Con, Incorporated - Antioch
Organization Address: 3551 Wilbur Avenue,
Organization City: Antioch
Organization State: CA
Organization Zipcode: 94509
Organization Email: cesar.rodriguez3@kiewit.com
Organization Phone: (925) 302-3654
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Capped in accordance with? ASTM C617/CTM521
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 5040 psi
Maximum load on cylinder 1 139570 lb
Maximum load on cylinder 2 145270 lb
Type of fracture pattern of cylinder 1 1
Type of fracture pattern of cylinder 2 1
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
Age of specimen 1 days
Age of specimen in hours 20 hours

Test 2 of 2

DIME Test ID: 2021-01-04-3-2
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 03/15/2021
Date Tested: 02/01/2021
Submitted By Organization: Kie-Con, Incorporated - Antioch
Organization Address: 3551 Wilbur Avenue,
Organization City: Antioch
Organization State: CA
Organization Zipcode: 94509
Organization Email: cesar.rodriguez3@kiewit.com
Organization Phone: (925) 302-3654
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Capped in accordance with? ASTM C617/CTM521
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 10580 psi
Maximum load on cylinder 1 298050 lb
Maximum load on cylinder 2 299850 lb
Type of fracture pattern of cylinder 1 1
Type of fracture pattern of cylinder 2 1
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
Age of specimen 28 days
Age of specimen in hours 670 hours