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Sample Record for 2019-04-25-7

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

Project Information

Project ID: 3825 DEA: 07138204 EFIS: 0700000142 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-47,103-3.5/4.6,0.0/1.1
Work Description: REPLACE STEEL BRIDGE WITH CIP PS CONCRETE BOX GIRDER BRIDGE AND RAMPS.
Location Description: LOS ANGELES COUNTY IN LONG BEACH AND LOS ANGELES ON ROUTE 47 FROM OCEAN BOULEVARD TO ROUTE 103 JUNCTION AND ON ROUTE 103 FROM ROUTE 47 JUNCTION TO ANAHEIM STREET OVERHEAD
Contractor Name: M C M CONSTRUCTION INC
Contractor Address: P O BOX 620, NORTH HIGHLANDS, CA 95660
Resident Engineer: Daniel Leon Structure Rep.: Andy Chen

Sample Information

DIME Sample ID: 2019-04-25-7
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Cementitious
Sample Taken Date: 04/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 05/03/2019
The quantity of what the sample constitutes: 6 cubes
A brief description of the sample: 2" Grout Cubes
From where was the sample collected: Job Site
Laboratory sample identification: 816-329
Structure unique identifier:
Structure name: CIDH Pile Pier 14A
The fabricator/manufacturer/facility name: MCM

Material Information

Brand: CPC
Mill: Unknown
Type of Cementitious Material: Type II/V Cement

Test Results

Test 1 of 2

DIME Test ID: 2019-04-25-7-1
Test Method: ASTM C109-16a: Standard Test Method for Compressive Strength of Hydraulic Cement Mortars (Using 2-in. or [50-mm] Cube Specimens)
Verified Date: 05/23/2019
Date Tested: 05/03/2019
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Will control cubes be used per ASTM C311? no
The amount of flow no data %
The amount of water used 45.0 %
Compressive strength of 1st specimen 4650 psi
Compressive strength of 2nd specimen 4610 psi
Compressive strength of 3rd specimen 5010 psi
Average Compressive strength (to nearest 10 psi) 4760 psi

Test 2 of 2

DIME Test ID: 2019-04-25-7-2
Test Method: ASTM C109-16a: Standard Test Method for Compressive Strength of Hydraulic Cement Mortars (Using 2-in. or [50-mm] Cube Specimens)
Verified Date: 05/23/2019
Date Tested: 05/23/2019
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Will control cubes be used per ASTM C311? no
The amount of flow no data %
The amount of water used 45.0 %
Compressive strength of 1st specimen 5580 psi
Compressive strength of 2nd specimen 5650 psi
Compressive strength of 3rd specimen 5560 psi
Average Compressive strength (to nearest 10 psi) 5600 psi

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.