Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993815 DEA: 081C0814 EFIS: 0816000086
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-R60.7/R74.3
Work Description: I-10 PAVEMENT REHABILITATION (SEGMENT 1) PROJECT
Location Description: Coachella
Contractor Name: COFFMAN SPECIALTIES, INC
Contractor Address: 4375 JUTLAND DRIVE STE 260, SAN DIEGO CA 92117
Resident Engineer: Michael Sergah Structure Rep.: Al Alina
DIME Sample ID: 2023-09-01-16
TL Number from the TL Form: 0
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
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: 08/28/2023
The quantity of what the sample constitutes: 3
A brief description of the sample: Concrete Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1051-29
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Coffman
The concrete mix design number: CT97337BD
The truck number from where the sample was collected: NP
The batch plant ticket number from where the sample was collected: NP
Concrete batch plant: Not Provided
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: I10 EB E. Cactus or Hazy
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-09-01-16-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/11/2023
Date Tested: 09/29/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
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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3
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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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no data
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Apparent mass of submerged cylinder 1
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no data0 lb
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Average diameter of cylinder 1
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4.04 in
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Average diameter of cylinder 2
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4.03 in
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Average diameter of cylinder 3
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4.03 in
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Cross sectional area of cylinder 1
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12.82 in^2
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Cross sectional area of cylinder 2
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12.76 in^2
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Cross sectional area of cylinder 3
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12.76 in^2
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Compressive strength (to nearest 10 psi)
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5680 psi
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Maximum load on cylinder 1
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71240 lb
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Maximum load on cylinder 2
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73280 lb
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Maximum load on cylinder 3
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73240 lb
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Compressive strength of cylinder 1
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5560.0 psi
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Type of fracture pattern of cylinder 1
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3
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Compressive strength of cylinder 2
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5740.0 psi
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Compressive strength of cylinder 3
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5740 psi
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Type of fracture pattern of cylinder 2
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3
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Type of fracture pattern of cylinder 3
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3
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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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Correction factor for cylinder 3
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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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Serial number of delivery ticket, if available
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no data
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