Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2023-11-16-28
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: 11/16/2023
Date that the sample was received by the laboratory/organization performing the testing: 11/17/2023
The quantity of what the sample constitutes: 28.5 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
The concrete mix design number: S9.8-25FA
The truck number from where the sample was collected: 76
The batch plant ticket number from where the sample was collected: 4053
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.:
DIME Test ID: 2023-11-16-28-1
Test Method: ASTM C1064-08: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 06/11/2024
Date Tested: 11/16/2023
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:
DIME Test ID: 2023-11-16-28-2
Test Method: ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 06/11/2024
Date Tested: 11/16/2023
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:
DIME Test ID: 2023-11-16-28-3
Test Method: CTM TEMP1-16: Test Method for Monitoring Precast Concrete Curing Temperature (Curing temperature)
Verified Date: 06/11/2024
Date Tested: 11/16/2023
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:
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Precast Maximum Curing Temperature
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133 °F
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DIME Test ID: 2023-11-16-28-4
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: 11/16/2023
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:
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Identification of concrete represented by the sample
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Box Girder
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Volume of the measure
|
0.25 ft^3
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Density of concrete
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151.4 lb/ft^3
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Yield of concrete
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no data
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Relative yield of the batch
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no data
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Cement content
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no data
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Air content
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no data
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DIME Test ID: 2023-11-16-28-5
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/11/2024
Date Tested: 11/17/2023
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
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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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1 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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12.56 in^2
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Cross sectional area of cylinder 2
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12.56 in^2
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Cross sectional area of cylinder 3
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12.56 in^2
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Compressive strength (to nearest 10 psi)
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5040 psi
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Maximum load on cylinder 1
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62285 lb
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Maximum load on cylinder 2
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64233 lb
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Maximum load on cylinder 3
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63541 lb
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Type of fracture pattern of cylinder 1
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4
|
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Type of fracture pattern of cylinder 2
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4
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Type of fracture pattern of cylinder 3
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4
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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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no data0 days
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Age of specimen in hours
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14 hours
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Serial number of delivery ticket, if available
|
no data
|
DIME Test ID: 2023-11-16-28-6
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/11/2024
Date Tested: 11/27/2023
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
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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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1 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
|
4.00 in
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Cross sectional area of cylinder 1
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12.56 in^2
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Cross sectional area of cylinder 2
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12.56 in^2
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Cross sectional area of cylinder 3
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12.56 in^2
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Compressive strength (to nearest 10 psi)
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7970 psi
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Maximum load on cylinder 1
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99140 lb
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Maximum load on cylinder 2
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98325 lb
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Maximum load on cylinder 3
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102985 lb
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Type of fracture pattern of cylinder 1
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3
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Type of fracture pattern of cylinder 2
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4
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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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11 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
|
no data
|
DIME Test ID: 2023-11-16-28-7
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/11/2024
Date Tested: 12/14/2023
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
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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
|
4.00 in
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|
Cross sectional area of cylinder 1
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12.56 in^2
|
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Cross sectional area of cylinder 2
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12.56 in^2
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|
Cross sectional area of cylinder 3
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12.56 in^2
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|
Compressive strength (to nearest 10 psi)
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9670 psi
|
|
Maximum load on cylinder 1
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117205 lb
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Maximum load on cylinder 2
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128385 lb
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Maximum load on cylinder 3
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118800 lb
|
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Type of fracture pattern of cylinder 1
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4
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Type of fracture pattern of cylinder 2
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4
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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
|
|
Correction factor for cylinder 1
|
1
|
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Correction factor for cylinder 2
|
1
|
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Correction factor for cylinder 3
|
1
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Age of specimen
|
28 days
|
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Age of specimen in hours
|
no data0 hours
|
|
Serial number of delivery ticket, if available
|
no data
|
DIME Test ID: 2023-11-16-28-8
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: 11/16/2023
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:
