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Sample Record for 2023-10-20-15

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

Project Information

Project ID: 993834 DEA: 081N0304 EFIS: 0822000082 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-179.4
Work Description: MONUMENT SIGN AESTHETICS.
Location Description: SAN BERNARDINO COUNTY NEAR PRIMM AT CALIFORNIA AGRICULTURAL INSPECTION STATION
Contractor Name: Bowe Contractors, Inc
Contractor Address: Unknown
Resident Engineer: DAVID BENSON Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-10-20-15
TL Number from the TL Form: 081N030420231020
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: 10/20/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/23/2023
The quantity of what the sample constitutes: 6
A brief description of the sample: Concrete Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1052-2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Gunner Concrete

Material Information

The concrete mix design number: 1619144
The truck number from where the sample was collected: 0000
The batch plant ticket number from where the sample was collected: 48021468
Concrete batch plant: Cemex Bullhead City
The fabricator/manufacturer designation for the sample: Cemex
A detailed description of where the material sample was collected: Re-Pour of Monument Sign Foundation
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 4

DIME Test ID: 2023-10-20-15-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/14/2023
Date Tested: 10/30/2023
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:
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 no data0 lb
Average diameter of cylinder 1 4.02 in
Average diameter of cylinder 2 4.02 in
Average diameter of cylinder 3 4.02 in
Cross sectional area of cylinder 1 12.69 in^2
Cross sectional area of cylinder 2 12.69 in^2
Cross sectional area of cylinder 3 12.69 in^2
Compressive strength (to nearest 10 psi) 4480 psi
Maximum load on cylinder 1 56000 lb
Maximum load on cylinder 2 56790 lb
Maximum load on cylinder 3 57570 lb
Compressive strength of cylinder 1 4410.0 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 4480.0 psi
Compressive strength of cylinder 3 4540 psi
Type of fracture pattern of cylinder 2 1
Type of fracture pattern of cylinder 3 1
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 10 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data

Test 2 of 4

DIME Test ID: 2023-10-20-15-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/03/2023
Date Tested: 11/03/2023
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:
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 no data0 lb
Average diameter of cylinder 1 4.02 in
Average diameter of cylinder 2 4.02 in
Average diameter of cylinder 3 4.01 in
Cross sectional area of cylinder 1 12.69 in^2
Cross sectional area of cylinder 2 12.69 in^2
Cross sectional area of cylinder 3 12.63 in^2
Compressive strength (to nearest 10 psi) 4610 psi
Maximum load on cylinder 1 58490 lb
Maximum load on cylinder 2 58010 lb
Maximum load on cylinder 3 58690 lb
Compressive strength of cylinder 1 4610.0 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 4570.0 psi
Compressive strength of cylinder 3 4650 psi
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 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
Age of specimen no data0 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data

Test 3 of 4

DIME Test ID: 2023-10-20-15-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/14/2023
Date Tested: 11/10/2023
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:
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 no data0 lb
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.01 in
Average diameter of cylinder 3 4.01 in
Cross sectional area of cylinder 1 12.57 in^2
Cross sectional area of cylinder 2 12.63 in^2
Cross sectional area of cylinder 3 12.63 in^2
Compressive strength (to nearest 10 psi) 5080 psi
Maximum load on cylinder 1 65150 lb
Maximum load on cylinder 2 64110 lb
Maximum load on cylinder 3 63040 lb
Compressive strength of cylinder 1 5180.0 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 5080.0 psi
Compressive strength of cylinder 3 4990 psi
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 1
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 21 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data

Test 4 of 4

DIME Test ID: 2023-10-20-15-4
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/17/2023
Date Tested: 11/17/2023
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:
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 4.02 in
Average diameter of cylinder 2 4.01 in
Average diameter of cylinder 3 4.01 in
Cross sectional area of cylinder 1 12.69 in^2
Cross sectional area of cylinder 2 12.63 in^2
Cross sectional area of cylinder 3 12.63 in^2
Compressive strength (to nearest 10 psi) 5530 psi
Maximum load on cylinder 1 67790 lb
Maximum load on cylinder 2 71520 lb
Maximum load on cylinder 3 70710 lb
Compressive strength of cylinder 1 5340.0 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 5660.0 psi
Compressive strength of cylinder 3 5600 psi
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 no data0 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data