Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-6.7/R25.1
Work Description: Remove concrete pavement and base, and place HMA and JPCP
Location Description: ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
Contractor Name: Coffman Specialties
Contractor Address: 9685 Via Excelencia, San Diego, CA 92126
Resident Engineer: Elvira Lenart Structure Rep.: Unknown
DIME Sample ID: 2021-12-07-9
TL Number from the TL Form: 60RR
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: 12/07/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/08/2021
The quantity of what the sample constitutes: 6
A brief description of the sample: concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1012-60RR
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Coffman Specialties, Inc
The concrete mix design number: 1906-17
The truck number from where the sample was collected: 60
The batch plant ticket number from where the sample was collected: 60
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: EB I10STATION 6750 LOAD 7
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2021-12-07-9-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/17/2021
Date Tested: 12/14/2021
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:
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Unit system used?
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US Units
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Number of specimens
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2
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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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no data
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Apparent mass of submerged cylinder 1
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no data0 lb
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Average diameter of cylinder 1
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5.98 in
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Average diameter of cylinder 2
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5.97 in
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Cross sectional area of cylinder 1
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28.09 in^2
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Cross sectional area of cylinder 2
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27.99 in^2
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Compressive strength (to nearest 10 psi)
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4340 psi
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Maximum load on cylinder 1
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122550 lb
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Maximum load on cylinder 2
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120830 lb
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Compressive strength of cylinder 1
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4362.8 psi
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Type of fracture pattern of cylinder 1
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1
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Compressive strength of cylinder 2
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4316.9 psi
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Type of fracture pattern of cylinder 2
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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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Correction factor for cylinder 2
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1
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Age of specimen
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no data0 days
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Age of specimen in hours
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no data0 hours
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Serial number of delivery ticket, if available
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no data
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