Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994115 DEA: 010H1914 EFIS: 0117000211
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-96-27/27.4
Work Description: Project Name: Bluff Creek Wall
Location Description: HUMBOLDT COUNTY NEAR WEITCHPEC FROM 0.6 MILE TO 0.2 MILE WEST OF BLUFF CREEK ROAD
Contractor Name: Mercer-Fraser Company
Contractor Address: PO Box 1006, Eureka, CA 95502
Resident Engineer: Efren Banuelos Structure Rep.: Adlai Evans
DIME Sample ID: 2024-05-30-10
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Boyd Road Field Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 05/30/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/31/2024
The quantity of what the sample constitutes: 130 CY
A brief description of the sample: Three cylinders.
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Bluff Creek Retaining Wall
The fabricator/manufacturer/facility name: Mercer Fraser Willow Crk
The concrete mix design number: MFCL1.45SLWCClass1
The truck number from where the sample was collected: 695
The batch plant ticket number from where the sample was collected: 002
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: from mix truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-05-30-10-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/27/2024
Date Tested: 06/27/2024
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: 28 Day Break 6/27/24
Test Result Compliance:
Additional Comments When Verified:
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Unit system used?
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US Units
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Number of specimens
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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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ASTM C617 - Sulfur Mortar Cap
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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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12.6 in^2
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Cross sectional area of cylinder 2
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12.6 in^2
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Cross sectional area of cylinder 3
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12.6 in^2
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Compressive strength (to nearest 10 psi)
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6910 psi
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Maximum load on cylinder 1
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83370 lb
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Maximum load on cylinder 2
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84650 lb
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Maximum load on cylinder 3
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92500 lb
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Type of fracture pattern of cylinder 1
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5
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Type of fracture pattern of cylinder 2
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5
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Type of fracture pattern of cylinder 3
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5
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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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28 days
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Age of specimen in hours
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no data0 hours
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