Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 211070 DEA: 080Q3004 EFIS: 0800020191
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-138-R17.1/R19.2
Work Description: REALIGN SECTION OF STATE ROUTE 138
Location Description: Near Hesperia from 1.9 mi East of Route 15 to 0.1 mi West of Summit Post Office Road to realign sections of State Route 138
Contractor Name: Skanska Civil USA
Contractor Address: 1995 Agua Mansa Road, Riverside, CA 92509
Resident Engineer: Amgad Benjamin Structure Rep.: Tim Flores
DIME Sample ID: 2017-10-24-12
TL Number from the TL Form: 2
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/24/2017
Date that the sample was received by the laboratory/organization performing the testing: 11/01/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: 6x12 concrete cylindes
From where was the sample collected: Job Site
Laboratory sample identification: 955-2
Structure unique identifier: MINER SHACK DECK POUR
Structure name: miners shack deck pour
The fabricator/manufacturer/facility name: Robertsons Lucerne Valley
The concrete mix design number: RRM16065
The truck number from where the sample was collected: 1737
The batch plant ticket number from where the sample was collected: 2872754
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: PLANT
A detailed description of where the material sample was collected: CHUTE
Where the material sample would have been placed if not sampled: MINER SHACK DECK POUR
From Lot No.: Unknown
Bag Lot No.: Unknown
DIME Test ID: 2017-10-24-12-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/21/2017
Date Tested: 11/21/2017
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
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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Capped in accordance with?
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ASTM C617/CTM521
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Average diameter of cylinder 1
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6.01 in
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Average diameter of cylinder 2
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6.01 in
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Cross sectional area of cylinder 1
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28.37 in^2
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Cross sectional area of cylinder 2
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28.37 in^2
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Compressive strength (to nearest 10 psi)
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5060 psi
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Maximum load on cylinder 1
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144060 lb
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Maximum load on cylinder 2
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143240 lb
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Compressive strength of cylinder 1
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5077.9 psi
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Type of fracture pattern of cylinder 1
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2
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Compressive strength of cylinder 2
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5049.0 psi
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Type of fracture pattern of cylinder 2
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2
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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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no data
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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 data
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