Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000073 DEA: 120N3704 EFIS: 1214000005 COOP: 12820
QA Service Level: 2
DIST-CO-RTE-PM: 12-ORA-I-5-R25.0
Work Description: Construct Class I bicycle and pedestrian bridge/trail connection of the Jeffrey Open Space Trail (JOST) across I-5.
Location Description: I-5/Jeffrey Road Interchange
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nader Naderi Structure Rep.: Nader Naderi
DIME Sample ID: 2024-06-11-103
TL Number from the TL Form:
Sample Submitted By Organization: Sequoia Consultants
Sample Organization Contact: (714) 974-6316
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 06/11/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/12/2024
The quantity of what the sample constitutes: 2 cylinders
A brief description of the sample: structural concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Holiday Santa Ana
The concrete mix design number: 3H40L020
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 125113175
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: RW 4+41.95
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-06-11-103-1
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 07/11/2024
Date Tested: 07/09/2024
Submitted By Organization: Sequoia Consultants
Organization Address: 361 West Grove Avenue,
Organization City: Orange
Organization State: CA
Organization Zipcode: 92865
Organization Email: sranjan@sequoiacon.com
Organization Phone: 1 (714) 974-6316
General Comments for this Test:
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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2
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Test performed
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With no density determined
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Average diameter of cylinder 1
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6.00 in
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Average diameter of cylinder 2
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6.00 in
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Capped in accordance with?
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ASTM C617 - Sulfur Mortar Cap
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Cross sectional area of cylinder 1
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28.27 in^2
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Cross sectional area of cylinder 2
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28.27 in^2
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Compressive strength (to nearest 10 psi)
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5250 psi
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Maximum load on cylinder 1
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149840 lb
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Maximum load on cylinder 2
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147250 lb
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Type of fracture pattern of cylinder 1
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2
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Type of fracture pattern of cylinder 2
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3
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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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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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