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Sample Record for 2023-10-05-24

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Project Information

Project ID: 994245 DEA: 051H4304 EFIS: 0516000073 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-21.4/21.9
Work Description: San Jose Creek Bridge replacement
Location Description: SANTA BARBARA COUNTY IN GOLETA FROM ROUTE 101/217 SEPARATION TO 0.3 MILE NORTH OF SAN JOSE CREEK BRIDGE
Contractor Name: MCM CONSTRUCTION
Contractor Address: 6413 32nd Street, North Highlands, Ca 95660
Resident Engineer: Manny Yogarajah Structure Rep.: Fabian Velasco

Sample Information

DIME Sample ID: 2023-10-05-24
TL Number from the TL Form:
Sample Submitted By Organization: Con-Fab California, LLC
Sample Organization Contact: (661) 630-7162
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 10/05/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/06/2023
The quantity of what the sample constitutes: 28 CY
A brief description of the sample: T-II/V Cement & Flyash Type F
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 51-0367L/R
Structure name: San Jose Creek Bridge
The fabricator/manufacturer/facility name: Con-Fab California, LLC - Shafter

Material Information

The concrete mix design number: S9.8-25FA
The truck number from where the sample was collected: 113
The batch plant ticket number from where the sample was collected: 3802
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Sampled from wheelbarrow collected from chute of ready mix truck
Where the material sample would have been placed if not sampled: Box Girder
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 7

DIME Test ID: 2023-10-05-24-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 06/11/2024
Date Tested: 10/05/2023
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 82 F

Test 2 of 7

DIME Test ID: 2023-10-05-24-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 06/11/2024
Date Tested: 10/05/2023
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 8.5 inch

Test 3 of 7

DIME Test ID: 2023-10-05-24-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/11/2024
Date Tested: 10/06/2023
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 6
Test performed With no density determined
Capped in accordance with? no data
Apparent mass of submerged cylinder 1 1 lb
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
Average diameter of cylinder 3 4.00 in
Average diameter of cylinder 4 4.00 in
Average diameter of cylinder 5 4.00 in
Average diameter of cylinder 6 4.00 in
Cross sectional area of cylinder 1 12.56 in^2
Cross sectional area of cylinder 2 12.56 in^2
Cross sectional area of cylinder 3 12.56 in^2
Cross sectional area of cylinder 4 12.56 in^2
Cross sectional area of cylinder 5 12.56 in^2
Cross sectional area of cylinder 6 12.56 in^2
Compressive strength (to nearest 10 psi) 5000 psi
Maximum load on cylinder 1 60690 lb
Maximum load on cylinder 2 60745 lb
Maximum load on cylinder 3 60120 lb
Maximum load on cylinder 4 63300 lb
Maximum load on cylinder 5 65570 lb
Maximum load on cylinder 6 67245 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 3
Type of fracture pattern of cylinder 4 2
Type of fracture pattern of cylinder 5 3
Type of fracture pattern of cylinder 6 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
Correction factor for cylinder 4 1
Correction factor for cylinder 5 1
Correction factor for cylinder 6 1
Age of specimen no data0 days
Age of specimen in hours 16 hours
Serial number of delivery ticket, if available no data

Test 4 of 7

DIME Test ID: 2023-10-05-24-4
Test Method: CTM TEMP1-16: Test Method for Monitoring Precast Concrete Curing Temperature (Curing temperature)
Verified Date: 06/11/2024
Date Tested: 10/05/2023
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Precast Maximum Curing Temperature 147 °F

Test 5 of 7

DIME Test ID: 2023-10-05-24-5
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/11/2024
Date Tested: 11/02/2023
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
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 1 lb
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
Average diameter of cylinder 3 4.00 in
Cross sectional area of cylinder 1 12.56 in^2
Cross sectional area of cylinder 2 12.56 in^2
Cross sectional area of cylinder 3 12.56 in^2
Compressive strength (to nearest 10 psi) 9260 psi
Maximum load on cylinder 1 113445 lb
Maximum load on cylinder 2 118665 lb
Maximum load on cylinder 3 116985 lb
Type of fracture pattern of cylinder 1 4
Type of fracture pattern of cylinder 2 3
Type of fracture pattern of cylinder 3 3
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

Test 6 of 7

DIME Test ID: 2023-10-05-24-6
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 06/11/2024
Date Tested: 10/05/2023
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample I Girders
Volume of the measure 0.25 ft^3
Density of concrete 151.4 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content no data
Air content no data

Test 7 of 7

DIME Test ID: 2023-10-05-24-7
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 06/11/2024
Date Tested: 10/05/2023
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air content 2.8 %