Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214336 DEA: 07302404 EFIS: 0713000488
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-101-37/40
Work Description: PADRE JUAN REHAB
Location Description: VEN 101
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 4820 McGrath Street, Suite 101, Ventura, CA 93003
Resident Engineer: Alfred Ira Structure Rep.: Unknown
DIME Sample ID: 2022-09-07-20
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: 09/07/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/08/2022
The quantity of what the sample constitutes: 300 CY
A brief description of the sample: A set of 2 LCB cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 22-2363
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NOT PROVIDED
The concrete mix design number: G3-22-LRCYB-297R
The truck number from where the sample was collected: Load 3
The batch plant ticket number from where the sample was collected: NOT PROVIDED
Concrete 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: 2022-09-07-20-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/15/2022
Date Tested: 09/14/2022
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:
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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6.01 in
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Average diameter of cylinder 2
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6.01 in
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Cross sectional area of cylinder 1
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28.37 in^2
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Cross sectional area of cylinder 2
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28.37 in^2
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Compressive strength (to nearest 10 psi)
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940 psi
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Maximum load on cylinder 1
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26570 lb
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Maximum load on cylinder 2
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26630 lb
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Type of fracture pattern of cylinder 1
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2
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Type of fracture pattern of cylinder 2
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2
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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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7 days
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Age of specimen in hours
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no data0 hours
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