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Sample Record for 2023-09-01-9

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

Project Information

Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-4.4/R7.7
Work Description: Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description: 101 freeway in Summerland, CA
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 5335 Debbie Road, Santa Barbara, CA 93111
Resident Engineer: Luobao Cai Structure Rep.: Emiliano Berntsen

Sample Information

DIME Sample ID: 2023-09-01-9
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Sample Organization Contact: (805) 621-3616
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/01/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/01/2023
The quantity of what the sample constitutes: 10 Cy
A brief description of the sample: Concrete Test Samples
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CEMEX Santa Barbara

Material Information

The concrete mix design number: 1614705
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 30909346
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2023-09-01-9-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 09/01/2023
Date Tested: 09/01/2023
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Temperature 86 F

Test 2 of 3

DIME Test ID: 2023-09-01-9-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 09/01/2023
Date Tested: 09/01/2023
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Slump 6 inch

Test 3 of 3

DIME Test ID: 2023-09-01-9-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/02/2023
Date Tested: 09/29/2023
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Capped in accordance with? no data
Apparent mass of submerged cylinder 1 no data0 lb
Average diameter of cylinder 1 4.02 in
Average diameter of cylinder 2 4.02 in
Average diameter of cylinder 3 4.02 in
Cross sectional area of cylinder 1 12.69 in^2
Cross sectional area of cylinder 2 12.69 in^2
Cross sectional area of cylinder 3 12.69 in^2
Compressive strength (to nearest 10 psi) 5960 psi
Maximum load on cylinder 1 77650 lb
Maximum load on cylinder 2 75390 lb
Maximum load on cylinder 3 73771 lb
Compressive strength of cylinder 1 6120.0 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 5940.0 psi
Compressive strength of cylinder 3 5810 psi
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Correction factor for cylinder 3 1
Age of specimen 28 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data