Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215100 DEA: 071XP904 EFIS: 0720000158
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-118-R5.75, R5.75/R5.75, 5.75/5.75
Work Description: REPAIR FAILED DRAINAGE SYSTEM ON LA COUNTY W/B LA-118 RESEDA BLVD
Location Description: W/B LA-118 RESEDA BLVD
Contractor Name: Ornelas Construction
Contractor Address: 1024 N Maclay Ave Suite J, San Fernando, CA 91340
Resident Engineer: EFRAIM CHAVEZ Structure Rep.: Unknown
DIME Sample ID: 2023-08-26-6
TL Number from the TL Form: 23082601
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: 08/26/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/28/2023
The quantity of what the sample constitutes: 130 CY
A brief description of the sample: 6X12 PCC cylinder
From where was the sample collected: Job Site
Laboratory sample identification: 23-397
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Short Load Concrete
The concrete mix design number: CTS-72-EHI
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: Short load concrete
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: truck chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-08-26-6-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/31/2023
Date Tested: 08/29/2023
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: complies
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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5.97 in
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Average diameter of cylinder 2
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5.98 in
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Cross sectional area of cylinder 1
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27.99 in^2
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Cross sectional area of cylinder 2
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28.09 in^2
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Compressive strength (to nearest 10 psi)
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4810 psi
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Maximum load on cylinder 1
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133875 lb
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Maximum load on cylinder 2
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135619 lb
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Compressive strength of cylinder 1
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4783.0 psi
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Type of fracture pattern of cylinder 1
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2
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Compressive strength of cylinder 2
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4828.0 psi
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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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3 days
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Age of specimen in hours
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no data0 hours
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