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Sample Record for 2024-07-02-19

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

Project Information

Project ID: 994525 DEA: 031H9904 EFIS: 0317000043 QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA,NEV-80-68.3/69.7,0.0/R2.7
Work Description: RDWY EXC, PLACE HMA & JPCP, SLAB REPLACEMENT & POLYESTER CONC OVERLAY.
Location Description: PLACER AND NEVADA COUNTIES NEAR KINGVALE FROM 0.3 MILE WEST OF TROY UNDERCROSSING TO 0.2 MILE EAST OF SODA SPRINGS OVERCROSSING
Contractor Name: A. TEICHERT & SON INC DBA TEICHERT CONSTRUCTION
Contractor Address: 4401 Duluth Avenue, Rocklin, CA 95765
Resident Engineer: Randie Babbini Structure Rep.: Carl Anderson

Sample Information

DIME Sample ID: 2024-07-02-19
TL Number from the TL Form:
Sample Submitted By Organization: Con-Fab California Corporation - Lathrop
Sample Organization Contact: (209) 249-4700
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 07/02/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/02/2024
The quantity of what the sample constitutes: 1 cubic ft. of Concrete for Testing
A brief description of the sample: 1 cubic ft. of Concrete for Testing
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Con-Fab California, LLC

Material Information

The concrete mix design number: 98NV20AF
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 11096
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Bed 1A at 2nd truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 7

DIME Test ID: 2024-07-02-19-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 07/03/2024
Date Tested: 07/03/2024
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
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 8.29 lb
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 12.56 in^2
Cross sectional area of cylinder 2 12.56 in^2
Cross sectional area of cylinder 3 12.56 in^2
Compressive strength (to nearest 10 psi) 4620 psi
Maximum load on cylinder 1 58220 lb
Maximum load on cylinder 2 57815 lb
Maximum load on cylinder 3 58160 lb
Type of fracture pattern of cylinder 1 4
Type of fracture pattern of cylinder 2 4
Type of fracture pattern of cylinder 3 4
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 1.00
Correction factor for cylinder 3 1.00
Age of specimen 1 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available no data

Test 2 of 7

DIME Test ID: 2024-07-02-19-2
Test Method: ASTM C1611-21: Standard Test Method for Slump Flow of Self-Consolidating Concrete
Verified Date: 07/03/2024
Date Tested: 07/02/2024
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What unit system is used for measurements? inches
Slump Flow 22.5 in
Filling the mold procedure Filling Procedure B (Inverted Mold)
Diameter 1 22.50 in
Diameter 2 22.50 in
Visual Stability Index 0

Test 3 of 7

DIME Test ID: 2024-07-02-19-3
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 07/03/2024
Date Tested: 07/02/2024
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 84 F

Test 4 of 7

DIME Test ID: 2024-07-02-19-4
Test Method: CTM TEMP1-16: Test Method for Monitoring Precast Concrete Curing Temperature (Curing temperature)
Verified Date: 07/03/2024
Date Tested: 07/02/2024
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Precast Maximum Curing Temperature 152 °F

Test 5 of 7

DIME Test ID: 2024-07-02-19-5
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 07/03/2024
Date Tested: 07/02/2024
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample Bed 1A, 2nd Truck
Volume of the measure 0.25 ft^3
Density of concrete 146 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content no data
Air content no data

Test 6 of 7

DIME Test ID: 2024-07-02-19-6
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 07/03/2024
Date Tested: 07/02/2024
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air content 4.8 %

Test 7 of 7

DIME Test ID: 2024-07-02-19-7
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 07/26/2024
Date Tested: 07/19/2024
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
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 8.62 lb
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 12.56 in^2
Cross sectional area of cylinder 2 12.56 in^2
Cross sectional area of cylinder 3 12.56 in^2
Compressive strength (to nearest 10 psi) 6530 psi
Maximum load on cylinder 1 80886 lb
Maximum load on cylinder 2 82519 lb
Maximum load on cylinder 3 82770 lb
Type of fracture pattern of cylinder 1 4
Type of fracture pattern of cylinder 2 4
Type of fracture pattern of cylinder 3 4
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 1.00
Correction factor for cylinder 3 1.00
Age of specimen 19 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available no data