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Sample Record for 2020-11-05-24

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

Project Information

Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,ORA-5-0.0/1.5, 44.3/44.4
Work Description: CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description: LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 TOWNSGATE RD. SUITE 200, WESTLAKE VILLAGE, CA 91361
Resident Engineer: George Saker Structure Rep.: Danny Lalonde

Sample Information

DIME Sample ID: 2020-11-05-24
TL Number from the TL Form: Unknown
Sample Submitted By Organization: G3 Quality, Inc. - Cerritos
Sample Organization Contact: (562) 321-9840
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 11/05/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/06/2020
The quantity of what the sample constitutes: 6
A brief description of the sample: 6x12 Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: Set 1
Structure unique identifier: 00-0000
Structure name: Unknown
The fabricator/manufacturer/facility name: Jobsite

Material Information

The concrete mix design number: G3-17-STR-006F
The truck number from where the sample was collected: Load 4
The batch plant ticket number from where the sample was collected: 0
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Set 1
A detailed description of where the material sample was collected: Coyote Creek Sg. 2 Span, 4 Slab and 20 ft from East Side
Where the material sample would have been placed if not sampled: Unknown
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Results

Test 1 of 6

DIME Test ID: 2020-11-05-24-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 01/13/2021
Date Tested: 11/12/2020
Submitted By Organization: G3 Quality, Inc. - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: (562) 321-9840
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
Capped in accordance with? ASTM C617/CTM521
Average diameter of cylinder 1 6.01 in
Average diameter of cylinder 2 6.01 in
Cross sectional area of cylinder 1 28.37 in^2
Cross sectional area of cylinder 2 28.37 in^2
Compressive strength (to nearest 10 psi) 3870 psi
Maximum load on cylinder 1 3900 lb
Maximum load on cylinder 2 3830 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
Age of specimen in hours 0 hours

Test 2 of 6

DIME Test ID: 2020-11-05-24-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 01/13/2021
Date Tested: 12/03/2020
Submitted By Organization: G3 Quality, Inc. - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: (562) 321-9840
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
Capped in accordance with? ASTM C617/CTM521
Average diameter of cylinder 1 6.01 in
Average diameter of cylinder 2 6.01 in
Cross sectional area of cylinder 1 28.37 in^2
Cross sectional area of cylinder 2 28.37 in^2
Compressive strength (to nearest 10 psi) 4640 psi
Maximum load on cylinder 1 4610 lb
Maximum load on cylinder 2 4660 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 28 days
Age of specimen in hours 0 hours

Test 3 of 6

DIME Test ID: 2020-11-05-24-3
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 01/13/2021
Date Tested: 11/05/2020
Submitted By Organization: G3 Quality, Inc. - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: (562) 321-9840
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 81 F

Test 4 of 6

DIME Test ID: 2020-11-05-24-4
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 01/13/2021
Date Tested: 11/05/2020
Submitted By Organization: G3 Quality, Inc. - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: (562) 321-9840
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit weight of the concrete 145 lb/ft^3
Volume of the concrete 0 yd^3
Cement content 0 lb/yd^3

Test 5 of 6

DIME Test ID: 2020-11-05-24-5
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 01/13/2021
Date Tested: 11/05/2020
Submitted By Organization: G3 Quality, Inc. - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: (562) 321-9840
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air Content 1.5 %

Test 6 of 6

DIME Test ID: 2020-11-05-24-6
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 01/13/2021
Date Tested: 11/05/2020
Submitted By Organization: G3 Quality, Inc. - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: (562) 321-9840
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 5 inch

Tests Assigned to this Sample

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