Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214543 DEA: 080K8404 EFIS: 0800020563
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-L5726-
Work Description: MAINTENANCE STATION BUILDING WORK.
Location Description: SAN BERNARDINO AT THE SAN BERNARDINO MAINTENANCE STATION AT 175 WEST CLUSTER STREET
Contractor Name: PCN3 Inc.
Contractor Address: 5450 Katella Ave. #101, Los Alamitos, CA, 90720
Resident Engineer: Nicholas Mineo Structure Rep.: Tim Flores
DIME Sample ID: 2020-09-02-23
TL Number from the TL Form: 1020-094
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: 09/02/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/04/2020
The quantity of what the sample constitutes: 2 Cylinders
A brief description of the sample: Concrete Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1020-094
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons
The concrete mix design number: not provided
The truck number from where the sample was collected: not provided
The batch plant ticket number from where the sample was collected: not provided
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: not provided
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2020-09-02-23-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/02/2020
Date Tested: 09/30/2020
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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4880 psi
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Maximum load on cylinder 1
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138440 lb
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Maximum load on cylinder 2
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138510 lb
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Compressive strength of cylinder 1
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4864.4 psi
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Type of fracture pattern of cylinder 1
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2
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Compressive strength of cylinder 2
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4899.5 psi
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Type of fracture pattern of cylinder 2
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1
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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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