Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214671 DEA: 07303904 EFIS: 0714000044
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-31.2/37.2
Work Description: LANE REPLACEMENT
Location Description: LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING
Contractor Name: Sierra Landscape Development Inc.
Contractor Address: 2209 1/2 Chico Ave., South El Monte CA, 91733
Resident Engineer: Hai Hong Structure Rep.: Unknown
DIME Sample ID: 2022-02-05-3
TL Number from the TL Form:
Sample Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Sample Organization Contact: (909) 833-5780
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 02/05/2022
Date that the sample was received by the laboratory/organization performing the testing: 02/05/2022
The quantity of what the sample constitutes: 650 CY
A brief description of the sample: A set of 2 LCB RS cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 22-0217
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Security Paving Burbank Batch Plant
The concrete mix design number: G322LRS271
The truck number from where the sample was collected: Load 60
The batch plant ticket number from where the sample was collected: 183806
Concrete batch plant: Security Paving Burbank Batch Plant
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete from wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2022-02-05-3-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 02/07/2022
Date Tested: 02/05/2022
Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Organization Address: 620 South Magnolia Avenue, Building G,
Organization City: Ontario
Organization State: CA
Organization Zipcode: 91762
Organization Email: mdorsch@kleinfelder.com
Organization Phone: (909) 833-5780
General Comments for this Test: Average opening age breaks = 260 psi at 3.5 hours. Values above our placeholders. QC performed testing and we don't have data other than compressive strength.
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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ASTM C617 - Sulfur Mortar Cap
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Average diameter of cylinder 1
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6.00 in
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Average diameter of cylinder 2
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6.00 in
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Cross sectional area of cylinder 1
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no data0 in^2
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Cross sectional area of cylinder 2
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no data0 in^2
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Compressive strength (to nearest 10 psi)
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260 psi
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Maximum load on cylinder 1
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no data0 lb
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Maximum load on cylinder 2
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no data0 lb
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Type of fracture pattern of cylinder 1
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1
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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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Values above our placeholders. QC performed testing and we don't have data other than compressive strength.
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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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4 hours
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