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Sample Record for 2023-09-06-1

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

Project Information

Project ID: 215620 DEA: 01436404 EFIS: 0100000193 QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-35.8/36.5
Work Description: Dr. Fine Bridge Replacement
Location Description: DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER.
Contractor Name: MCM Construction
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Clayton Malmberg Structure Rep.: Brian Cinkutis

Sample Information

DIME Sample ID: 2023-09-06-1
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Crescent City Field Laboratory
Sample Organization Contact: (707) 496-5581
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/06/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/07/2023
The quantity of what the sample constitutes: 66 cy
A brief description of the sample: Detour bridge Column 4 Right
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tidewater Starry pit

Material Information

The concrete mix design number: SR-Minor StructureNA
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: TBD
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2023-09-06-1-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/13/2023
Date Tested: 09/13/2023
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 207 Price Mall,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test: 7 day break
Test Result Compliance: not applicable
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With density determined by dimension measurements
Density of cylinder 152 lb/ft^3
Average diameter of cylinder 1 6.00 in
Comment on any defect in either specimen or caps (Max 250 Characters) no data

Test 2 of 2

DIME Test ID: 2023-09-06-1-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/04/2023
Date Tested: 10/04/2023
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 207 Price Mall,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test: 28 day break
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 6200 psi
Maximum load on cylinder 1 171700 lb
Maximum load on cylinder 2 178650 lb
Compressive strength of cylinder 1 6073.6 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 6319.4 psi
Type of fracture pattern of cylinder 2 5
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
Age of specimen 28 days
Age of specimen in hours 0 hours