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Sample Record for 2023-12-12-38

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

Project Information

Project ID: 994191 DEA: 081G8304 EFIS: 0816000079 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R100.8/R101.8
Work Description: HMA, STRUCTURAL CONC, BAR REINFORCING STEEL, CRSP & IMPORTED BORROW.
Location Description: SAN BERNARDINO COUNTY AT ESSEX FROM 1.1 MILES EAST OF ESSEX ROAD OVERCROSSING TO 0.5 MILE EAST OF HALFWAY HILLS WASH BRIDGE
Contractor Name: SKANSKA USA CIVIL WEST CALIFORNIA DISTRICT INC.
Contractor Address: 1995 Agua Mansa Rd, Riverside, CA 92509
Resident Engineer: Anthony Doan Structure Rep.: Jegbefume Adodo

Sample Information

DIME Sample ID: 2023-12-12-38
TL Number from the TL Form: 12
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: 12/12/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/18/2023
The quantity of what the sample constitutes: 6
A brief description of the sample: 4X8
From where was the sample collected: Job Site
Laboratory sample identification: 1053-12
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SKANSKA

Material Information

The concrete mix design number: 1629102
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 48100064
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: JOB
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2023-12-12-38-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/26/2023
Date Tested: 12/26/2023
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 2
Test performed With density determined by dimension measurements
Average cylinder density (to nearest 1 pcf) 143 lb/ft^3
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Serial number of delivery ticket, if available no data

Test 2 of 2

DIME Test ID: 2023-12-12-38-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/09/2024
Date Tested: 01/09/2024
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? no data
Apparent mass of submerged cylinder 1 no data0 lb
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
Cross sectional area of cylinder 1 12.57 in^2
Cross sectional area of cylinder 2 12.57 in^2
Compressive strength (to nearest 10 psi) 5730 psi
Maximum load on cylinder 1 71330 lb
Maximum load on cylinder 2 72660 lb
Compressive strength of cylinder 1 5670.0 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 5780.0 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 1
Age of specimen no data0 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data