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Sample Record for 2015-07-10-2

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

Project Information

Project ID: 5266 DEA: 08448404 EFIS: 0800000712 COOP: 081488A1 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-91-15.6/21.6
Work Description: CONSTRUCT HOV LANES AND WIDEN BRIDGES.
Location Description: RIVERSIDE COUNTY IN RIVERSIDE FROM ADAMS STREET TO THE ROUTE 60/215 SEPARATION
Contractor Name: SEMA CONSTRUCTION INC
Contractor Address: 320 Goddard, Suite 150, , Irvine, CA 92618
Resident Engineer: Joseph Lopez Structure Rep.: Al-Hakem Alina

Sample Information

DIME Sample ID: 2015-07-10-2
TL Number from the TL Form: 150714C
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 07/10/2015
Date that the sample was received by the laboratory/organization performing the testing: 07/02/2015
The quantity of what the sample constitutes: 2
A brief description of the sample: Concrete 6 x 12 Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 825-14C
Structure unique identifier: Unknown
Structure name: Ivy st OH
The fabricator/manufacturer/facility name: Cemex

Material Information

The concrete mix design number: 1420004
The truck number from where the sample was collected: Not Provided
The batch plant ticket number from where the sample was collected: Not Provided
Concrete batch plant: Not Provided
The fabricator/manufacturer designation for the sample: Not Provided
A detailed description of where the material sample was collected: Not Provided
Where the material sample would have been placed if not sampled: Ivy st OH Replace CIDH piles
From Lot No.:
Bag Lot No.:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2015-07-10-2-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/12/2015
Date Tested: 07/30/2015
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 5810 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 28 days