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Sample Record for 2015-09-22-10

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

Project Information

Project ID: 209187 DEA: 04235624 EFIS: 0400000678 COOP: 042583 QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL,SM-101-52.0/52.6,0.0/0.6
Work Description: BRIDGE REPLACEMENT
Location Description: SANTA CLARA AND SAN MATEO COUNTIES IN PALO ALTO AND EAST PALO ALTO FROM OREGON EXPRESSWAY OVERCROSSING TO 0.3 MILE SOUTH OF UNIVERSITY AVENUE OVERCROSSING
Contractor Name: GHILOTTI BROS / RM HARRIS JV
Contractor Address: 525 JACOBY STREET, SAN RAFAEL CA 94901
Resident Engineer: Fernando Abela Structure Rep.: Yannaing Tun

Sample Information

DIME Sample ID: 2015-09-22-10
TL Number from the TL Form: Unknown
Sample Submitted By Organization: Summit Associates
Sample Organization Contact: (208) 908-3498
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 09/22/2015
Date that the sample was received by the laboratory/organization performing the testing: 09/23/2015
The quantity of what the sample constitutes: One Sample Every 100 CY
A brief description of the sample: 4 EA 6x12 Compression Cylinder
From where was the sample collected: Job Site
Laboratory sample identification: 150162
Structure unique identifier: 350348
Structure name: Pier 2 Wall
The fabricator/manufacturer/facility name: Central Concrete

Material Information

The concrete mix design number: D15PP562
The truck number from where the sample was collected: 1210
The batch plant ticket number from where the sample was collected: 18093551
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: Truck Chute
Where the material sample would have been placed if not sampled: Pier 2 Wall
From Lot No.:
Bag Lot No.:
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2015-09-22-10-1
Test Method: ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 10/07/2015
Date Tested: 09/22/2015
Submitted By Organization: Summit Associates
Organization Address: 2300 Clayton Road, Suite 1380,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: kittric.guest@summitcm.com
Organization Phone: 208-908-3498
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Slump 5.5 inch

Test 2 of 6

DIME Test ID: 2015-09-22-10-2
Test Method: ASTM C1064-12: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 10/07/2015
Date Tested: 09/22/2015
Submitted By Organization: Summit Associates
Organization Address: 2300 Clayton Road, Suite 1380,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: kittric.guest@summitcm.com
Organization Phone: 208-908-3498
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 81 F

Test 3 of 6

DIME Test ID: 2015-09-22-10-3
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 10/07/2015
Date Tested: 09/22/2015
Submitted By Organization: Summit Associates
Organization Address: 2300 Clayton Road, Suite 1380,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: kittric.guest@summitcm.com
Organization Phone: 208-908-3498
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample 150162
Volume of the measure 0.25 ft^3
Density of concrete 149 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content no data
Air content no data

Test 4 of 6

DIME Test ID: 2015-09-22-10-4
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/07/2015
Date Tested: 09/25/2015
Submitted By Organization: Summit Associates
Organization Address: 2300 Clayton Road, Suite 1380,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: kittric.guest@summitcm.com
Organization Phone: 208-908-3498
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Capped in accordance with? ASTM C1231
Average diameter of cylinder 1 6.00 in
Compressive strength of cylinder (to nearest 10 psi) 2690 psi
Maximum load on cylinder 1 76000 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 1
Age of specimen 3 days
Age of specimen in hours no data

Test 5 of 6

DIME Test ID: 2015-09-22-10-5
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/07/2015
Date Tested: 09/28/2015
Submitted By Organization: Summit Associates
Organization Address: 2300 Clayton Road, Suite 1380,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: kittric.guest@summitcm.com
Organization Phone: 208-908-3498
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Capped in accordance with? ASTM C1231
Average diameter of cylinder 1 6.01 in
Compressive strength of cylinder (to nearest 10 psi) 3850 psi
Maximum load on cylinder 1 109250 lb
Type of fracture pattern of cylinder 1 4
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 6 days
Age of specimen in hours no data

Test 6 of 6

DIME Test ID: 2015-09-22-10-6
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/07/2015
Date Tested: 09/29/2015
Submitted By Organization: Summit Associates
Organization Address: 2300 Clayton Road, Suite 1380,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: kittric.guest@summitcm.com
Organization Phone: 208-908-3498
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Capped in accordance with? ASTM C1231
Average diameter of cylinder 1 6.01 in
Compressive strength of cylinder (to nearest 10 psi) 3900 psi
Maximum load on cylinder 1 110550 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 1
Age of specimen 7 days
Age of specimen in hours no data