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: 2023-10-09-35
TL Number from the TL Form: 1009
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: 10/09/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/16/2023
The quantity of what the sample constitutes: 4
A brief description of the sample: Concrete Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1051-1009
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hi Grade Materials Indio
The concrete mix design number: CT590F25
The truck number from where the sample was collected: 302
The batch plant ticket number from where the sample was collected: 869689
Concrete batch plant: Not Provided
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: ECHO DITCH WASH ABUTMENT 1
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-10-09-35-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/06/2023
Date Tested: 11/06/2023
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: 1 for Hold
Test perform per ASTM C39-10 therefore no density determined
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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4.00 in
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Average diameter of cylinder 2
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4.00 in
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Average diameter of cylinder 3
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4.00 in
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Cross sectional area of cylinder 1
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12.57 in^2
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Cross sectional area of cylinder 2
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12.57 in^2
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Cross sectional area of cylinder 3
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12.57 in^2
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Compressive strength (to nearest 10 psi)
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4440 psi
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Maximum load on cylinder 1
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55560 lb
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Maximum load on cylinder 2
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55780 lb
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Maximum load on cylinder 3
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56090 lb
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Compressive strength of cylinder 1
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4420.0 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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4440.0 psi
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Compressive strength of cylinder 3
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4460 psi
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Type of fracture pattern of cylinder 2
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2
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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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