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Sample Record for 2016-05-12-1

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

Project Information

Project ID: 211330 DEA: 081G9204 EFIS: 0816000108 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-181.9
Work Description:
Location Description:
Contractor Name: J McLoughlin Engineering
Contractor Address: 10641 Fulton Court, Rancho Cucamonga, CA 91730
Resident Engineer: John Santos Structure Rep.: Faisal Zahlout

Sample Information

DIME Sample ID: 2016-05-12-1
TL Number from the TL Form: 12345A25
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: 05/12/2016
Date that the sample was received by the laboratory/organization performing the testing: 05/16/2016
The quantity of what the sample constitutes: 8
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 932-A25
Structure unique identifier: Unknown
Structure name: Unknown
The fabricator/manufacturer/facility name: ROBERTSONS

Material Information

The concrete mix design number: SC750R4R
The truck number from where the sample was collected: 1229
The batch plant ticket number from where the sample was collected: 1058506
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: PLANT
A detailed description of where the material sample was collected: CHUTE
Where the material sample would have been placed if not sampled: STATION 2925 PLUS 55
From Lot No.: Unknown
Bag Lot No.: Unknown
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2016-05-12-1-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/19/2016
Date Tested: 05/19/2016
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617/CTM521
Average diameter of cylinder 1 6.02 in
Average diameter of cylinder 2 6.02 in
Cross sectional area of cylinder 1 28.46 in^2
Cross sectional area of cylinder 2 28.46 in^2
Compressive strength (to nearest 10 psi) 2640 psi
Maximum load on cylinder 1 75100 lb
Maximum load on cylinder 2 75180 lb
Compressive strength of cylinder 1 2638.8 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 2641.6 psi
Type of fracture pattern of cylinder 2 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 no data
Age of specimen 7 days
Age of specimen in hours no data

Test 2 of 3

DIME Test ID: 2016-05-12-1-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/02/2016
Date Tested: 06/02/2016
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617/CTM521
Average diameter of cylinder 1 6.02 in
Average diameter of cylinder 2 6.02 in
Cross sectional area of cylinder 1 28.46 in^2
Cross sectional area of cylinder 2 28.46 in^2
Compressive strength (to nearest 10 psi) 3990 psi
Maximum load on cylinder 1 112730 lb
Maximum load on cylinder 2 114520 lb
Compressive strength of cylinder 1 3961.0 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 4023.9 psi
Type of fracture pattern of cylinder 2 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 no data
Age of specimen 21 days
Age of specimen in hours no data

Test 3 of 3

DIME Test ID: 2016-05-12-1-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/09/2016
Date Tested: 06/09/2016
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617/CTM521
Average diameter of cylinder 1 6.02 in
Average diameter of cylinder 2 6.02 in
Cross sectional area of cylinder 1 28.46 in^2
Cross sectional area of cylinder 2 28.46 in^2
Compressive strength (to nearest 10 psi) 4200 psi
Maximum load on cylinder 1 120480 lb
Maximum load on cylinder 2 118790 lb
Compressive strength of cylinder 1 4233.3 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 4173.9 psi
Type of fracture pattern of cylinder 2 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 no data
Age of specimen 28 days
Age of specimen in hours no data