Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215039 DEA: 081H4004 EFIS: 0817000031
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-0.4
Work Description: MINOR CONCRETE (MINOR STRUCTURE).
Location Description: SAN BERNARDINO COUNTY IN BARSTOW AT 0.4 MILE EAST OF ROUTE 15
Contractor Name: Pacific Restoration Group Inc
Contractor Address: PO Box 2061, Lake Elsinore, CA 92531-2061
Resident Engineer: Thanh Pham Structure Rep.: Husam Mohd Ankir
DIME Sample ID: 2021-02-10-21
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 02/10/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/05/2021
The quantity of what the sample constitutes: 2
A brief description of the sample: CONTRER CYLINDERS
From where was the sample collected: Job Site
Laboratory sample identification: 1024-210
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ROBERTSONS
The concrete mix design number: sc505b38
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: STA 16 40 NORTH SIDE SECTION
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2021-02-10-21-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/02/2021
Date Tested: 03/10/2021
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used?
|
US Units
|
Number of specimens
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2
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Test performed
|
With no density determined
|
Capped in accordance with?
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ASTM C617/CTM521
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Average diameter of cylinder 1
|
6.02 in
|
Average diameter of cylinder 2
|
6.04 in
|
Cross sectional area of cylinder 1
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28.46 in^2
|
Cross sectional area of cylinder 2
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28.65 in^2
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Compressive strength (to nearest 10 psi)
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4890 psi
|
Maximum load on cylinder 1
|
141425 lb
|
Maximum load on cylinder 2
|
137625 lb
|
Compressive strength of cylinder 1
|
4969.3 psi
|
Type of fracture pattern of cylinder 1
|
1
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Compressive strength of cylinder 2
|
4803.7 psi
|
Type of fracture pattern of cylinder 2
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1
|
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
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1
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Correction factor for cylinder 2
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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 data
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