Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993340 DEA: 051J7504 EFIS: 0518000039 MINOR: 05A2318
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-90
Work Description: Install CMS Sign Structure US 101 NB 0.3 Miles N of Donovan Rd
Location Description: In Santa Maria
Contractor Name: Pelagic Engineering
Contractor Address: 3600 Harbor Blvd #85, Oxnard, CA 93035
Resident Engineer: Thomas Petersen Structure Rep.: Alex Martinez
DIME Sample ID: 2022-09-14-58
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Sample Organization Contact: 8053191237
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/14/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/15/2022
The quantity of what the sample constitutes: 19.10 CY
A brief description of the sample: 72GA1NOP
From where was the sample collected: Job Site
Laboratory sample identification: 220914B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Mariatta SLO
The concrete mix design number: 72GA1NOP
The truck number from where the sample was collected: load 1
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant: Martin Marietta SLO
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2022-09-14-58-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/22/2022
Date Tested: 09/21/2022
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: isaac.gleffe@dot.ca.gov
Organization Phone: (805) 319-1237
General Comments for this Test: avg.3, 7 day BK. Complies
Test Result Compliance: complies
Additional Comments When Verified:
|
Unit system used?
|
US Units
|
|
Number of specimens
|
3
|
|
Test performed
|
With no density determined
|
|
Capped in accordance with?
|
ASTM C617 - Sulfur Mortar Cap
|
|
Average diameter of cylinder 1
|
4.02 in
|
|
Average diameter of cylinder 2
|
4.01 in
|
|
Average diameter of cylinder 3
|
4.01 in
|
|
Cross sectional area of cylinder 1
|
12.69 in^2
|
|
Cross sectional area of cylinder 2
|
12.63 in^2
|
|
Cross sectional area of cylinder 3
|
12.63 in^2
|
|
Compressive strength (to nearest 10 psi)
|
4080 psi
|
|
Maximum load on cylinder 1
|
51976 lb
|
|
Maximum load on cylinder 2
|
53310 lb
|
|
Maximum load on cylinder 3
|
49442 lb
|
|
Type of fracture pattern of cylinder 1
|
4
|
|
Type of fracture pattern of cylinder 2
|
3
|
|
Type of fracture pattern of cylinder 3
|
4
|
|
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
|
|
Correction factor for cylinder 3
|
1
|
|
Age of specimen
|
7 days
|
|
Age of specimen in hours
|
no data0 hours
|
DIME Test ID: 2022-09-14-58-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/12/2022
Date Tested: 10/12/2022
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: isaac.gleffe@dot.ca.gov
Organization Phone: (805) 319-1237
General Comments for this Test: AVG. 3, 28 day BK , Complies
Test Result Compliance: complies
Additional Comments When Verified:
|
Unit system used?
|
US Units
|
|
Number of specimens
|
3
|
|
Test performed
|
With no density determined
|
|
Capped in accordance with?
|
ASTM C617 - Sulfur Mortar Cap
|
|
Average diameter of cylinder 1
|
4.02 in
|
|
Average diameter of cylinder 2
|
4.01 in
|
|
Average diameter of cylinder 3
|
4.01 in
|
|
Cross sectional area of cylinder 1
|
12.69 in^2
|
|
Cross sectional area of cylinder 2
|
12.6 in^2
|
|
Cross sectional area of cylinder 3
|
12.62 in^2
|
|
Compressive strength (to nearest 10 psi)
|
6410 psi
|
|
Maximum load on cylinder 1
|
79826 lb
|
|
Maximum load on cylinder 2
|
81749 lb
|
|
Maximum load on cylinder 3
|
81357 lb
|
|
Type of fracture pattern of cylinder 1
|
4
|
|
Type of fracture pattern of cylinder 2
|
4
|
|
Type of fracture pattern of cylinder 3
|
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
|
|
Correction factor for cylinder 3
|
1
|
|
Age of specimen
|
28 days
|
|
Age of specimen in hours
|
672 hours
|
DIME Test ID: 2022-09-14-58-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/01/2022
Date Tested: 10/26/2022
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: isaac.gleffe@dot.ca.gov
Organization Phone: (805) 319-1237
General Comments for this Test: avg.3 42 day BK
Test Result Compliance: complies
Additional Comments When Verified:
|
Unit system used?
|
US Units
|
|
Number of specimens
|
1
|
|
Test performed
|
With no density determined
|
|
Capped in accordance with?
|
ASTM C617 - Sulfur Mortar Cap
|
|
Average diameter of cylinder 1
|
4.01 in
|
|
Compressive strength of cylinder (to nearest 10 psi)
|
5960 psi
|
|
Maximum load on cylinder 1
|
75576 lb
|
|
Type of fracture pattern of cylinder 1
|
5
|
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
|
Correction factor for cylinder 1
|
no data0
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|
Age of specimen
|
42 days
|
|
Age of specimen in hours
|
1008 hours
|
DIME Test ID: 2022-09-14-58-4
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 09/22/2022
Date Tested: 09/14/2022
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: isaac.gleffe@dot.ca.gov
Organization Phone: (805) 319-1237
General Comments for this Test: complies
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2022-09-14-58-5
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 09/22/2022
Date Tested: 09/14/2022
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: isaac.gleffe@dot.ca.gov
Organization Phone: (805) 319-1237
General Comments for this Test: does not comply
Test Result Compliance: does not comply
Additional Comments When Verified:
