Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212988 DEA: 080R1604 EFIS: 0812000029
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R50.0/R75.0
Work Description: REGRADE MEDIAN CROSS SLOPES
Location Description: NEAR LUDLOW FROM 0.3 MILES EAST OF CRUCERO ROAD TO 0.4 MILE WEST OF BADGER WASH
Contractor Name: FISHER SAND & GRAVEL CO.
Contractor Address: 1302 W DRIVERS WAY, TEPE, AZ. 85284
Resident Engineer: Thanh Pham Structure Rep.: Leonard Romero
DIME Sample ID: 2020-02-13-21
TL Number from the TL Form: 02132020-1
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: 02/13/2020
Date that the sample was received by the laboratory/organization performing the testing: 03/11/2020
The quantity of what the sample constitutes: 10 CY
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 991-02132020-1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons
The concrete mix design number: SC675B38
The truck number from where the sample was collected: Unknown
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant: Robertsons
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: MIXER CHUTE
Where the material sample would have been placed if not sampled: DS 123
From Lot No.: Unknown
Bag Lot No.: Unknown
DIME Test ID: 2020-02-13-21-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 03/12/2020
Date Tested: 03/12/2020
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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6.02 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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28.46 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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6470 psi
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Maximum load on cylinder 1
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183750 lb
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Maximum load on cylinder 2
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183380 lb
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Compressive strength of cylinder 1
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6456.4 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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6486.7 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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