Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 209175 DEA: 030F2204 EFIS: 0300000072
QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-R30.7/R31.7
Work Description: REPLACE BRIDGE.
Location Description: SLY PARK UNDERCROSSING
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. Box 1508 , Rancho Cordova, CA 95741
Resident Engineer: Jarrett Woodruff Structure Rep.: Brandon Miller
DIME Sample ID: 2014-09-03-9
TL Number from the TL Form:
Sample Submitted By Organization: Viking Construction Company, Incorporated - Rancho Cordova
Sample Organization Contact: (916) 852-5530
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 09/03/2014
Date that the sample was received by the laboratory/organization performing the testing: 09/03/2014
The quantity of what the sample constitutes: 6 cylinders
A brief description of the sample: Stage 2 Abutment 2
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier: Unknown
Structure name: Unknown
The fabricator/manufacturer/facility name: Folsom Ready Mix
The concrete mix design number: SF718AFSTO
The truck number from where the sample was collected: Unknown
The batch plant ticket number from where the sample was collected: 1049545
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: Folsom Ready Mix Stockpile
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2014-09-03-9-1
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521 Cured in accordance with ASTM C511
Verified Date: 09/23/2014
Date Tested: 09/10/2014
Submitted By Organization: Viking Construction Company, Incorporated - Rancho Cordova
Organization Address: 11315 Sunrise Gold Circle, Suite A,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: dfishback@vikingbridges.com
Organization Phone: (916) 852-5530
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Unit system used?
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US Units
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Number of specimens
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1
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Test performed
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With no density determined
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Capped in accordance with?
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ASTM C617/CTM521
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Compressive strength of cylinder (to nearest 10 psi)
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2930 psi
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Average diameter of cylinder 1
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6.01 in
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Maximum load on cylinder 1
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83050 lb
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Type of fracture pattern of cylinder 1
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1
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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
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1
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Age of specimen
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7 days
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