Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 210569 DEA: 083555V4 EFIS: 0814000086
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-42.5/46.0
Work Description: WIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR.
Location Description: SAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING
Contractor Name: Ames Construction
Contractor Address: 2000 AMES DRIVE, BURNSVILLE, MN 55306
Resident Engineer: Taghreed Al-Khateeb Structure Rep.: Ravinder Singh
DIME Sample ID: 2018-08-31-14
TL Number from the TL Form: V4831
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: 08/31/2018
Date that the sample was received by the laboratory/organization performing the testing: 09/13/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: Concrete Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 934-V4831
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NA
The concrete mix design number: C590F25A
The truck number from where the sample was collected: 209
The batch plant ticket number from where the sample was collected: 843100
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: site load 9
Where the material sample would have been placed if not sampled: Piles cap at pier 3 for Mojave River Bridge New
From Lot No.:
Bag Lot No.:
DIME Test ID: 2018-08-31-14-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/01/2018
Date Tested: 09/28/2018
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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5.99 in
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Average diameter of cylinder 2
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5.99 in
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Cross sectional area of cylinder 1
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28.18 in^2
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Cross sectional area of cylinder 2
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28.18 in^2
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Compressive strength (to nearest 10 psi)
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4800 psi
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Maximum load on cylinder 1
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136710 lb
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Maximum load on cylinder 2
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133940 lb
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Compressive strength of cylinder 1
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4851.3 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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4753.0 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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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 data
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