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Sample Record for 2019-06-21-7

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

Project Information

Project ID: 213658 DEA: 081F9204 EFIS: 0815000059 QA Service Level: 1
DIST-CO-RTE-PM: 08--,60and86-
Work Description:
Location Description:
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 Construction Circle West, Irvine, CA 92606-4414
Resident Engineer: Jay Carillo Structure Rep.: Hien Vu

Sample Information

DIME Sample ID: 2019-06-21-7
TL Number from the TL Form: 20190621
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: 06/21/2019
Date that the sample was received by the laboratory/organization performing the testing: 06/23/2019
The quantity of what the sample constitutes: 6
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 996-621
Structure unique identifier:
Structure name: CMS LOCATION 3
The fabricator/manufacturer/facility name: Robertsons - Cabazon

Material Information

The concrete mix design number: SM450T49
The truck number from where the sample was collected: 2017
The batch plant ticket number from where the sample was collected: 4499701
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: peterson chase
A detailed description of where the material sample was collected: 2 CY
Where the material sample would have been placed if not sampled: CMS LOCATION 3
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Results

Test 1 of 3

DIME Test ID: 2019-06-21-7-1
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521
Verified Date: 07/03/2019
Date Tested: 06/28/2019
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 victoria st,
Organization City: fontana
Organization State:
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Cross sectional area of cylinder 1 28.37 in^2
Cross sectional area of cylinder 2 28.37 in^2
Capped in accordance with? ASTM C617/CTM521
Compressive strength (to nearest 10 psi) 3550 psi
Average diameter of cylinder 1 6.01 in
Average diameter of cylinder 2 6.01 in
Compressive strength of cylinder 1 3542.1 psi
Compressive strength of cylinder 2 3549.9 psi
Maximum load on cylinder 1 100490 lb
Maximum load on cylinder 2 100710 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 7 days

Test 2 of 3

DIME Test ID: 2019-06-21-7-2
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521
Verified Date: 07/08/2019
Date Tested: 07/05/2019
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 victoria st,
Organization City: fontana
Organization State:
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Cross sectional area of cylinder 1 28.46 in^2
Cross sectional area of cylinder 2 28.46 in^2
Capped in accordance with? ASTM C617/CTM521
Compressive strength (to nearest 10 psi) 4230 psi
Average diameter of cylinder 1 6.02 in
Average diameter of cylinder 2 6.02 in
Compressive strength of cylinder 1 3984.0 psi
Compressive strength of cylinder 2 4470.3 psi
Maximum load on cylinder 1 113385 lb
Maximum load on cylinder 2 127225 lb
Type of fracture pattern of cylinder 1 3
Type of fracture pattern of cylinder 2 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 14 days

Test 3 of 3

DIME Test ID: 2019-06-21-7-3
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521
Verified Date: 07/22/2019
Date Tested: 07/19/2019
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 victoria st,
Organization City: fontana
Organization State:
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Cross sectional area of cylinder 1 28.65 in^2
Cross sectional area of cylinder 2 28.56 in^2
Capped in accordance with? ASTM C617/CTM521
Compressive strength (to nearest 10 psi) 5350 psi
Average diameter of cylinder 1 6.04 in
Average diameter of cylinder 2 6.03 in
Compressive strength of cylinder 1 5536.8 psi
Compressive strength of cylinder 2 5155.1 psi
Maximum load on cylinder 1 158630 lb
Maximum load on cylinder 2 147230 lb
Type of fracture pattern of cylinder 1 1
Type of fracture pattern of cylinder 2 1
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 28 days