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Sample Record for 2020-12-29-5

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

Project Information

Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-8.2/8.7
Contractor Name: Golden State Bridge, Inc
Contractor Address: 3701 Mallard Dr., Benicia, CA 94510
Resident Engineer: Ryan Dunne Structure Rep.: Bryan Keene

Sample Information

DIME Sample ID: 2020-12-29-5
TL Number from the TL Form:
Sample Submitted By Organization: Golden State Bridge, Inc
Sample Organization Contact: (415) 720-6577
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 12/29/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/31/2020
The quantity of what the sample constitutes: 23 CY
A brief description of the sample: Structure Concrete
From where was the sample collected: Job Site
Laboratory sample identification: C7617A-D
Structure unique identifier:
Structure name: Panther Creek Temp Bridge
The fabricator/manufacturer/facility name: Tidewater Constractors

Material Information

The concrete mix design number: 3-4_CIDH-TEMP
The truck number from where the sample was collected: 95
The batch plant ticket number from where the sample was collected: 3221
Concrete batch plant: Tidewater Contractor
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Abutment no. 2 - Left Pile
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 1

DIME Test ID: 2020-12-29-5-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 02/18/2021
Date Tested: 01/26/2021
Submitted By Organization: Golden State Bridge, Inc
Organization Address: 3701 Mallard Drive ,
Organization City: Benicia
Organization State: CA
Organization Zipcode: 94510
Organization Email:
Organization Phone: (415) 720-6577
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 6.00 in
Average diameter of cylinder 2 6.00 in
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 5480 psi
Maximum load on cylinder 1 158740 lb
Maximum load on cylinder 2 150900 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 27 days
Age of specimen in hours no data

Tests Assigned to this Sample

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