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Sample Record for 2023-12-12-9

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

Project Information

Project ID: 994408 DEA: 051K03U4 EFIS: 0522000026 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-101-
Work Description: !!PLEASE CC Office Engineer Barbara Riccardi on reports to RE and SR!! Construct 2 roundabouts in Montecito along US 101.
Location Description:
Contractor Name: Veronica Mchugh
Contractor Address: 5335 DEBBIE ROAD, SANTA BARBARA, CA 93111
Resident Engineer: Taylor Merlo Structure Rep.: Josh Madrigal

Sample Information

DIME Sample ID: 2023-12-12-9
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Sample Organization Contact: (805) 621-3616
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 12/12/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/12/2023
The quantity of what the sample constitutes: 6.5 CY
A brief description of the sample: 1 x 4 PCC Aggregate
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CEMEX Santa Barbara

Material Information

The concrete mix design number: 1614705
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 31048345
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2023-12-12-9-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 12/12/2023
Date Tested: 12/12/2023
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Temperature 75 F

Test 2 of 4

DIME Test ID: 2023-12-12-9-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 12/12/2023
Date Tested: 12/12/2023
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Slump 4 inch

Test 3 of 4

DIME Test ID: 2023-12-12-9-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/23/2025
Date Tested: 12/15/2023
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Capped in accordance with? ASTM C1231 - Unbonded Elastomeric Pad Cap
Average diameter of cylinder 1 4.01 in
Average diameter of cylinder 2 4.01 in
Average diameter of cylinder 3 4.01 in
Cross sectional area of cylinder 1 12.63 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) 3810 psi
Maximum load on cylinder 1 49120 lb
Maximum load on cylinder 2 47460 lb
Maximum load on cylinder 3 47840 lb
Compressive strength of cylinder 1 3889.2 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 3757.7 psi
Compressive strength of cylinder 3 3787.8 psi
Type of fracture pattern of cylinder 2 3
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 3 days
Age of specimen in hours no data0 hours

Test 4 of 4

DIME Test ID: 2023-12-12-9-4
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/23/2025
Date Tested: 01/09/2024
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Capped in accordance with? ASTM C1231 - Unbonded Elastomeric Pad Cap
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
Average diameter of cylinder 3 4.00 in
Cross sectional area of cylinder 1 12.57 in^2
Cross sectional area of cylinder 2 12.57 in^2
Cross sectional area of cylinder 3 12.57 in^2
Compressive strength (to nearest 10 psi) 6070 psi
Maximum load on cylinder 1 75710 lb
Maximum load on cylinder 2 74330 lb
Maximum load on cylinder 3 78690 lb
Compressive strength of cylinder 1 6023.1 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 5913.3 psi
Compressive strength of cylinder 3 6260.1 psi
Type of fracture pattern of cylinder 2 5
Type of fracture pattern of cylinder 3 5
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 28 days
Age of specimen in hours no data0 hours