Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-6.7/R25.1
Work Description: Remove concrete pavement and base, and place HMA and JPCP
Location Description: ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
Contractor Name: Coffman Specialties
Contractor Address: 9685 Via Excelencia, San Diego, CA 92126
Resident Engineer: Elvira Lenart Structure Rep.: Unknown
DIME Sample ID: 2021-03-22-4
TL Number from the TL Form: 21RR
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 03/22/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/23/2021
The quantity of what the sample constitutes: 6
A brief description of the sample: 6X12
From where was the sample collected: Job Site
Laboratory sample identification: 21RR
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: COFFMAN
The concrete mix design number: 1906-17
The truck number from where the sample was collected: 2
The batch plant ticket number from where the sample was collected: NP
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Job site
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2021-03-22-4-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/01/2021
Date Tested: 03/29/2021
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: (909) 829-3029
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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6.02 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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28.46 in^2
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Compressive strength (to nearest 10 psi)
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3750 psi
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Maximum load on cylinder 1
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107350 lb
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Maximum load on cylinder 2
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106325 lb
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Compressive strength of cylinder 1
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3772.0 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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3735.9 psi
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Type of fracture pattern of cylinder 2
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2
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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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7 days
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Age of specimen in hours
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no data
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