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Sample Record for 2016-10-03-3

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

Project Information

Project ID: 7613 DEA: 071218W4 EFIS: 0700021119 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-29.4/31.6
Work Description: REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location Description: LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342
Resident Engineer: Vladimir Gurfinkel Structure Rep.: Gon Choi

Sample Information

DIME Sample ID: 2016-10-03-3
TL Number from the TL Form: 889-03W
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: 10/03/2016
Date that the sample was received by the laboratory/organization performing the testing: 10/06/2016
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: 889-03W
Structure unique identifier: Unknown
Structure name: BURBANK WESTERN CHANNEL PRECAST PRESTESSED DECK PANELS GROUP 12
The fabricator/manufacturer/facility name: Jobsite

Material Information

The concrete mix design number: S72035
The truck number from where the sample was collected: 494
The batch plant ticket number from where the sample was collected: 202204
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: Dischard fron concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled: Unknown
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Results

Test 1 of 3

DIME Test ID: 2016-10-03-3-1
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521
Cured in accordance with ASTM C511
Verified Date: 10/07/2016
Date Tested: 10/06/2016
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
Cross sectional area of cylinder 1 28.46 in^2
Cross sectional area of cylinder 2 28.46 in^2
Capped in accordance with? ASTM C617/CTM521
Compressive strength (to nearest 10 psi) 2230 psi
Average diameter of cylinder 1 6.02 in
Average diameter of cylinder 2 6.02 in
Compressive strength of cylinder 1 2,191.5 psi
Compressive strength of cylinder 2 2,259.3 psi
Maximum load on cylinder 1 62370 lb
Maximum load on cylinder 2 64300 lb
Type of fracture pattern of cylinder 1 3
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 1.00
Correction factor for cylinder 2 no data
Age of specimen 3 days

Test 2 of 3

DIME Test ID: 2016-10-03-3-2
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521
Cured in accordance with ASTM C511
Verified Date: 11/01/2016
Date Tested: 10/31/2016
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
Cross sectional area of cylinder 1 28.46 in^2
Cross sectional area of cylinder 2 28.46 in^2
Capped in accordance with? ASTM C617/CTM521
Compressive strength (to nearest 10 psi) 4450 psi
Average diameter of cylinder 1 6.02 in
Average diameter of cylinder 2 6.02 in
Compressive strength of cylinder 1 4,508.8 psi
Compressive strength of cylinder 2 4,394.2 psi
Maximum load on cylinder 1 128320 lb
Maximum load on cylinder 2 125060 lb
Type of fracture pattern of cylinder 1 1
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 1.00
Correction factor for cylinder 2 no data
Age of specimen 28 days

Test 3 of 3

DIME Test ID: 2016-10-03-3-3
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521
Cured in accordance with ASTM C511
Verified Date: 11/16/2016
Date Tested: 11/14/2016
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
Cross sectional area of cylinder 1 28.37 in^2
Cross sectional area of cylinder 2 28.46 in^2
Capped in accordance with? ASTM C617/CTM521
Compressive strength (to nearest 10 psi) 4770 psi
Average diameter of cylinder 1 6.01 in
Average diameter of cylinder 2 6.02 in
Compressive strength of cylinder 1 4,754.0 psi
Compressive strength of cylinder 2 4,795.2 psi
Maximum load on cylinder 1 134870 lb
Maximum load on cylinder 2 136470 lb
Type of fracture pattern of cylinder 1 2
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 1.00
Correction factor for cylinder 2 no data
Age of specimen 42 days