Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213099 DEA: 041A6614 EFIS: 0415000291 COOP: 042683A1
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-8.4
Work Description: CONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location Description:
Contractor Name: Disney Construction
Contractor Address: 533 airport Blvd, Suite 120, Burlingame, CA 94010
Resident Engineer: Steven Russell Structure Rep.: Long Ly
DIME Sample ID: 2021-11-06-12
TL Number from the TL Form:
Sample Submitted By Organization: Disney Construction, Incorporated
Sample Organization Contact: (707) 812-0766
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 11/06/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/08/2021
The quantity of what the sample constitutes: 38 CY
A brief description of the sample: Concrete Mix SL-3172 CE
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Diaphragms and Shear Keys
The fabricator/manufacturer/facility name: Shamrock Materials Inc
The concrete mix design number: SL-3172 CE
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: Back of truck discharge chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2021-11-06-12-1
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617 - Sulfur Mortar Cap Cured in accordance with ASTM C511
Submitted By Organization: Disney Construction, Incorporated
Organization Address: 533 Airport Blvd Ste 120,
Organization City: Burlingame
Organization State: CA
Organization Zipcode: 94010
Organization Email: hcastillo@disneyconstruction.com
Organization Phone: (707) 812-0766
Data has not been verified.
DIME Test ID: 2021-11-06-12-2
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617 - Sulfur Mortar Cap Cured in accordance with ASTM C511
Submitted By Organization: Disney Construction, Incorporated
Organization Address: 533 Airport Blvd Ste 120,
Organization City: Burlingame
Organization State: CA
Organization Zipcode: 94010
Organization Email: hcastillo@disneyconstruction.com
Organization Phone: (707) 812-0766
Data has not been verified.
DIME Test ID: 2021-11-06-12-3
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617 - Sulfur Mortar Cap Cured in accordance with ASTM C511
Verified Date: 03/16/2022
Date Tested: 11/18/2021
Submitted By Organization: Disney Construction, Incorporated
Organization Address: 533 Airport Blvd Ste 120,
Organization City: Burlingame
Organization State: CA
Organization Zipcode: 94010
Organization Email: hcastillo@disneyconstruction.com
Organization Phone: (707) 812-0766
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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3
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Test performed
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With no density determined
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Cross sectional area of cylinder 1
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12.57 in^2
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Cross sectional area of cylinder 2
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12.57 in^2
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Cross sectional area of cylinder 3
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12.57 in^2
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Capped in accordance with?
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ASTM C617 - Sulfur Mortar Cap
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Compressive strength (to nearest 10 psi)
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6100 psi
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Average diameter of cylinder 1
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4.00 in
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Average diameter of cylinder 2
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4.00 in
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Average diameter of cylinder 3
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4.00 in
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Maximum load on cylinder 1
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77500 lb
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Maximum load on cylinder 2
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76300 lb
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Maximum load on cylinder 3
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76110 lb
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Type of fracture pattern of cylinder 1
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4
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Type of fracture pattern of cylinder 2
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4
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Type of fracture pattern of cylinder 3
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4
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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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Correction factor for cylinder 3
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1
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Age of specimen
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11 days
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