Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 208714 DEA: 08043514 EFIS: 0800000010
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-58-R22.2/R31.1
Work Description: REALIGN AND WIDEN 2 TO 4 LANES EXPRESSWAY
Location Description: HINKLEY ROAD FROM 2.4 MILES WEST OF HIDDEN RIVER ROAD TO? 0.7 MILE EAST OF LENWOOD ROAD.
Contractor Name: Skanska Civil USA
Contractor Address: 1995 Agua Mansa Road, Riverside, CA 92509
Resident Engineer: Shaine Shahidi Structure Rep.: Ahmad Ankir
DIME Sample ID: 2016-04-28-4
TL Number from the TL Form: 0428168-8
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: 04/28/2016
Date that the sample was received by the laboratory/organization performing the testing: 05/02/2016
The quantity of what the sample constitutes: 2
A brief description of the sample: Concrete Cylinder 6 x 12
From where was the sample collected: Job Site
Laboratory sample identification: 915-68
Structure unique identifier: Unknown
Structure name: Unknown
The fabricator/manufacturer/facility name: ROBERTSON
The concrete mix design number: LB16-0022R2
The truck number from where the sample was collected: NONE
The batch plant ticket number from where the sample was collected: NONE
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: PLANT
A detailed description of where the material sample was collected: BACK OF THE TRUCK
Where the material sample would have been placed if not sampled: SR 58 EXPRESS WAY AT HINKLEY
From Lot No.: Unknown
Bag Lot No.: Unknown
DIME Test ID: 2016-04-28-4-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/05/2016
Date Tested: 05/05/2016
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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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/CTM521
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Average diameter of cylinder 1
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5.98 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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28.09 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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1330 psi
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Maximum load on cylinder 1
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37460 lb
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Maximum load on cylinder 2
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37150 lb
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Compressive strength of cylinder 1
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1333.6 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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1322.5 psi
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Type of fracture pattern of cylinder 2
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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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no data
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Age of specimen
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7 days
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Age of specimen in hours
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no data
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