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Sample Record for 2024-05-24-66

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

Project Information

Project ID: 995028 DEA: 010H4314 EFIS: 0117000214 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-299-R11.0/R11.4
Work Description: Project Name: Korbel Wall (Description of Work: CONSTRUCT RETAINING WALL, RECONSTRUCT ROADWAY, & REPLACE CULVERT)
Location Description: HUMBOLDT COUNTY ABOUT 6 MILES EAST OF BLUE LAKE FROM NORTH FORK MAD RIVER BRIDGE TO 0.4 MILE EAST OF NORTH FORK MAD RIVER BRIDGE
Contractor Name: MCCULLOUGH CONSTRUCTION INC
Contractor Address: 57 Aldergrove Road, Arcata, CA 95521
Resident Engineer: Brenda Howell Structure Rep.: Dustin Helliwell

Sample Information

DIME Sample ID: 2024-05-24-66
TL Number from the TL Form:
Sample Submitted By Organization: SHN Engineers & Geologists, Incorporated
Sample Organization Contact: (707) 441-8855
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 05/24/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/25/2024
The quantity of what the sample constitutes: 60 CY
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification: C9189
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Eureka Ready Mix

Material Information

The concrete mix design number: E400FA
The truck number from where the sample was collected: 84
The batch plant ticket number from where the sample was collected: 36025
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: sampled from revolving drum truck into a wheelbarrow
Where the material sample would have been placed if not sampled: Lower Waler
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 6

DIME Test ID: 2024-05-24-66-1
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 07/18/2024
Date Tested: 05/24/2024
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air content 1.2 %

Test 2 of 6

DIME Test ID: 2024-05-24-66-2
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 07/18/2024
Date Tested: 05/24/2024
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 70 F

Test 3 of 6

DIME Test ID: 2024-05-24-66-3
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 07/18/2024
Date Tested: 05/24/2024
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample E400FA
Volume of the measure 0.249 ft^3
Density of concrete 148.2 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content no data
Air content no data

Test 4 of 6

DIME Test ID: 2024-05-24-66-4
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 07/18/2024
Date Tested: 05/24/2024
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 5.75 inch

Test 5 of 6

DIME Test ID: 2024-05-24-66-5
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/18/2024
Date Tested: 05/31/2024
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
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? ASTM C1231 - Unbonded Elastomeric Pad Cap
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 12.57 in^2
Cross sectional area of cylinder 2 12.57 in^2
Cross sectional area of cylinder 3 12.57 in^2
Compressive strength (to nearest 10 psi) 4490 psi
Maximum load on cylinder 1 46320 lb
Maximum load on cylinder 2 47400 lb
Maximum load on cylinder 3 47260 lb
Type of fracture pattern of cylinder 1 5
Type of fracture pattern of cylinder 2 3
Type of fracture pattern of cylinder 3 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
Correction factor for cylinder 3 1
Age of specimen 7 days
Age of specimen in hours no data0 hours

Test 6 of 6

DIME Test ID: 2024-05-24-66-6
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/18/2024
Date Tested: 06/21/2024
Submitted By Organization: SHN Engineers & Geologists, Incorporated
Organization Address: 812 West Wabash Avenue,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: dgonzales@shn-engr.com
Organization Phone: (707) 441-8855
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? ASTM C1231 - Unbonded Elastomeric Pad Cap
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 12.57 in^2
Cross sectional area of cylinder 2 12.57 in^2
Cross sectional area of cylinder 3 12.57 in^2
Compressive strength (to nearest 10 psi) 5210 psi
Maximum load on cylinder 1 63260 lb
Maximum load on cylinder 2 68500 lb
Maximum load on cylinder 3 64600 lb
Type of fracture pattern of cylinder 1 5
Type of fracture pattern of cylinder 2 5
Type of fracture pattern of cylinder 3 5
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
Correction factor for cylinder 3 1
Age of specimen 28 days
Age of specimen in hours no data0 hours