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Sample Record for 2024-09-24-34

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

Project Information

Project ID: 993333 DEA: 04264724 EFIS: 0419000068 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-R20.8/27.1
Work Description: CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location Description: MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
Contractor Name: GHILOTTI CONSTRUCTION CO. INC. (RILEY GENAZZI & JOSH SERAFINO)
Contractor Address: 246 GHILOTTI AVE., SANTA ROSA, CA 95407
Resident Engineer: Fabio La Serna Structure Rep.: Jeremy Light

Sample Information

DIME Sample ID: 2024-09-24-34
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3672 - Novato Field Office
Sample Organization Contact: (916) 621-8033
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/24/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/24/2024
The quantity of what the sample constitutes: 90CY
A brief description of the sample: 3 4x8 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: RW6 stem wall
The fabricator/manufacturer/facility name: Shamrock Materials Inc

Material Information

The concrete mix design number: SL4201CG
The truck number from where the sample was collected: 2432
The batch plant ticket number from where the sample was collected: 293632
Concrete batch plant: 138
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: CHUTE FROM TRUCK
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2024-09-24-34-1
Test Method: ASTM C1064-08: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 09/25/2024
Date Tested: 09/24/2024
Submitted By Organization: CT SC - 3672 - Novato Field Office
Organization Address: 384 Bel Marin Keys Boulevard, Suite 200,
Organization City: Novato
Organization State: CA
Organization Zipcode: 94949
Organization Email: josh.velono@dot.ca.gov
Organization Phone: (916) 621-8033
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Temperature 80 F

Test 2 of 3

DIME Test ID: 2024-09-24-34-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 09/25/2024
Date Tested: 09/24/2024
Submitted By Organization: CT SC - 3672 - Novato Field Office
Organization Address: 384 Bel Marin Keys Boulevard, Suite 200,
Organization City: Novato
Organization State: CA
Organization Zipcode: 94949
Organization Email: josh.velono@dot.ca.gov
Organization Phone: (916) 621-8033
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 6.5 inch

Test 3 of 3

DIME Test ID: 2024-09-24-34-4
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/29/2024
Date Tested: 10/28/2024
Submitted By Organization: CT HQ - Vallejo Field Laboratory
Organization Address: 690 Walnut Avenue, Suite 150,
Organization City: Vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: nikhil.moon@dot.ca.gov
Organization Phone: (682) 256-3796
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
Apparent mass of submerged cylinder 1 1 lb
Average diameter of cylinder 1 4.06 in
Average diameter of cylinder 2 4.00 in
Average diameter of cylinder 3 4.00 in
Cross sectional area of cylinder 1 12.95 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) 5380 psi
Maximum load on cylinder 1 71160 lb
Maximum load on cylinder 2 66872 lb
Maximum load on cylinder 3 68255 lb
Compressive strength of cylinder 1 5440.0 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 5270.0 psi
Compressive strength of cylinder 3 5430 psi
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 0.99
Correction factor for cylinder 2 0.99
Correction factor for cylinder 3 1
Age of specimen 34 days
Age of specimen in hours no data0 hours
Serial number of delivery ticket, if available no data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2024-09-24-34-3ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens09/25/202410/22/2024Josh VelonoCT HQ - Sacramento Concrete Testing LaboratoryPlease break and provide results to Mr. Nou