Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 211507 DEA: 07279114 EFIS: 0715000075
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-60-R24.4/R25.3
Work Description: CONSTRUCT RAMPS AND AUXILIARY LANE.
Location Description: LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM GRAND AVENUE OVERCROSSING TO 0.1 MILE WEST OF PROSPECTORS UNDERCROSSING
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 Cushing Suite 200, Irvine, CA 92618
Resident Engineer: Martin Sandoval Structure Rep.: Unknown
DIME Sample ID: 2017-10-26-10
TL Number from the TL Form: 13257422
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: 10/26/2017
Date that the sample was received by the laboratory/organization performing the testing: 11/13/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: 6x12
From where was the sample collected: Job Site
Laboratory sample identification: 958-22
Structure unique identifier: SIGN STRUCTURE OH 2 PILE FOUNDATION MEDIAN
Structure name: SIGN STRUCTURE OH 2 PILE FOUNDATION MEDIAN
The fabricator/manufacturer/facility name: ROBERTSONS
The concrete mix design number: SM450R4R
The truck number from where the sample was collected: 1861
The batch plant ticket number from where the sample was collected: 13257422
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: TRUCK
Where the material sample would have been placed if not sampled: SIGN STRUCTURE OH 2 PILE FOUNDATION MEDIAN
From Lot No.: Unknown
Bag Lot No.: Unknown
DIME Test ID: 2017-10-26-10-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/27/2017
Date Tested: 11/24/2017
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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6.00 in
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Average diameter of cylinder 2
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6.00 in
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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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6690 psi
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Maximum load on cylinder 1
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181235 lb
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Maximum load on cylinder 2
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196880 lb
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Compressive strength of cylinder 1
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6410.9 psi
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Type of fracture pattern of cylinder 1
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3
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Compressive strength of cylinder 2
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6964.3 psi
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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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no data
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Age of specimen
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29 days
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Age of specimen in hours
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no data
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