Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215739 DEA: 010G2104 EFIS: 0116000137
QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-21.2
Work Description: CONSTRUCT RETAINING WALL AND GUARDRAIL AND EARTHWORK.
Location Description: DEL NORTE COUNTY NEAR CRESCENT CITY AT 0.2 MILE NORTH OF CUSHING CREEK VIADUCT 01-0076
Contractor Name: McCullough Construction, Inc.
Contractor Address: 57 Alder Grove Road, Arcata, CA 95521
Resident Engineer: Aaron Valley Structure Rep.: Thomas Norris
DIME Sample ID: 2023-01-26-38
TL Number from the TL Form: 281154
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Verification
Type of Material: Concrete
Sample Taken Date: 01/26/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/30/2023
The quantity of what the sample constitutes: Unknown
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: C0148
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown
The concrete mix design number: unknown
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: unknown
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Chute
Where the material sample would have been placed if not sampled: waler 5
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-01-26-38-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 02/23/2023
Date Tested: 02/23/2023
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
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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6.00 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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28.3 in^2
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Cross sectional area of cylinder 2
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28.3 in^2
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Compressive strength (to nearest 10 psi)
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6910 psi
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Maximum load on cylinder 1
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187460 lb
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Maximum load on cylinder 2
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203370 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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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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28 days
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Age of specimen in hours
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no data0 hours
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