Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214670 DEA: 07331004 EFIS: 0716000220
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-101-9.0/9.2
Work Description: CONCRETE SLAB REPLACEMENT & GRIND, PAVEMENT & RESURFACE ACE
Location Description: VENTURA COUNTY IN THOUSAND OAKS FROM NORTHBOUND OFF-RAMP TO SOUTHBOUND OFF-RAMP AT CONEJO COMMERCIAL VEHICLE ENFORCEMENT FACILITIES
Contractor Name: POWELL CONSTRUCTORS INC
Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335
Resident Engineer: Ranjit Singh Structure Rep.: Unknown
DIME Sample ID: 2023-06-23-35
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Department Acceptance
Type of Material: Concrete
Sample Taken Date: 06/23/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/24/2023
The quantity of what the sample constitutes: 100 cu. yd.
A brief description of the sample: LCB
From where was the sample collected: Job Site
Laboratory sample identification: 23-0893
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Powell
The concrete mix design number: S30C396L0A
The truck number from where the sample was collected: 20030
The batch plant ticket number from where the sample was collected: 192619
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge concrete chute into wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-06-23-35-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/30/2023
Date Tested: 06/30/2023
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
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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6.02 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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24.86 in^2
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Compressive strength (to nearest 10 psi)
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570 psi
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Maximum load on cylinder 1
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15982 lb
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Maximum load on cylinder 2
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16189 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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