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Sample Record for 2022-06-27-21

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 215456 DEA: 07293604 EFIS: 0713000238 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-405-14.3/15.8
Work Description: CONSTRUCT AUXILIARY LANE AND WIDEN ON AND OFF RAMPS.
Location Description: LOS ANGELES COUNTY IN TORRANCE BETWEEN WESTERN AVENUE UNDERCROSSING AND WEST 182ND STREET
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 CUSHING SUITE 200, IRVINE CA 92618
Resident Engineer: Samuel Gallardo Structure Rep.: James Holloway

Sample Information

DIME Sample ID: 2022-06-27-21
TL Number from the TL Form: 109312
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Department Acceptance
Type of Material: Concrete
Sample Taken Date: 06/27/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/28/2022
The quantity of what the sample constitutes: 130 CY
A brief description of the sample: 4X8 PCC cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 22-0167
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex

Material Information

The concrete mix design number: 1612109
The truck number from where the sample was collected: 2
The batch plant ticket number from where the sample was collected: na
Concrete batch plant: Cemex
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: truck chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2022-06-27-21-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/05/2022
Date Tested: 07/04/2022
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 4.01 in
Average diameter of cylinder 2 4.02 in
Cross sectional area of cylinder 1 12.63 in^2
Cross sectional area of cylinder 2 12.69 in^2
Compressive strength (to nearest 10 psi) 4080 psi
Maximum load on cylinder 1 51094 lb
Maximum load on cylinder 2 52110 lb
Compressive strength of cylinder 1 4045.4 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 4106.4 psi
Type of fracture pattern of cylinder 2 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 7 days
Age of specimen in hours no data0 hours

Test 2 of 3

DIME Test ID: 2022-06-27-21-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/11/2022
Date Tested: 07/11/2022
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 4.04 in
Average diameter of cylinder 2 4.03 in
Cross sectional area of cylinder 1 12.82 in^2
Cross sectional area of cylinder 2 12.76 in^2
Compressive strength (to nearest 10 psi) 4680 psi
Maximum load on cylinder 1 59000 lb
Maximum load on cylinder 2 60805 lb
Compressive strength of cylinder 1 4602.2 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 4765.3 psi
Type of fracture pattern of cylinder 2 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 14 days
Age of specimen in hours no data0 hours

Test 3 of 3

DIME Test ID: 2022-06-27-21-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/01/2022
Date Tested: 07/25/2022
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 4.03 in
Average diameter of cylinder 2 4.01 in
Cross sectional area of cylinder 1 12.76 in^2
Cross sectional area of cylinder 2 12.63 in^2
Compressive strength (to nearest 10 psi) 4600 psi
Maximum load on cylinder 1 60591 lb
Maximum load on cylinder 2 56286 lb
Compressive strength of cylinder 1 4748.5 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 4456.5 psi
Type of fracture pattern of cylinder 2 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 28 days
Age of specimen in hours no data0 hours