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Sample Record for 2021-04-10-1

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

Project Information

Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10-
Work Description: Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location Description: LA/SBD County Line to PM 13.2 near I-15
Contractor Name: Lane-Security Paving Joint Venture
Contractor Address: 3450 Centre Lake Drive, 1st Floor, Ontario, CA 91761
Resident Engineer: Matt Antonelli Structure Rep.: Zahlout, Faisal

Sample Information

DIME Sample ID: 2021-04-10-1
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 04/10/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/12/2021
The quantity of what the sample constitutes: 8
A brief description of the sample: concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1015-410
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex

Material Information

The concrete mix design number: 1610974
The truck number from where the sample was collected: 10070491
The batch plant ticket number from where the sample was collected: 29573901
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Monte Vista Ave- Abut 1 stage 1 Footing
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2021-04-10-1-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/19/2021
Date Tested: 04/17/2021
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Additional Comments When Verified:
Unit system used? SI Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617/CTM521
Average diameter of cylinder 1 6.02 mm
Average diameter of cylinder 2 6.02 mm
Cross sectional area of cylinder 1 28.46 mm^2
Cross sectional area of cylinder 2 28.46 mm^2
Compressive strength (to nearest 0.1MPa) 4237 MPa
Maximum load on cylinder 1 119370 N
Maximum load on cylinder 2 121800 N
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 1 4194.3 MPa
Compressive strength of cylinder 2 4279.7 MPa
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 no data

Test 2 of 3

DIME Test ID: 2021-04-10-1-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/30/2021
Date Tested: 05/01/2021
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
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 - Sulfur Mortar Cap
Average diameter of cylinder 1 6.01 in
Average diameter of cylinder 2 6.02 in
Cross sectional area of cylinder 1 28.37 in^2
Cross sectional area of cylinder 2 28.46 in^2
Compressive strength (to nearest 10 psi) 5470 psi
Maximum load on cylinder 1 149955 lb
Maximum load on cylinder 2 160780 lb
Compressive strength of cylinder 1 5285.7 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 5649.3 psi
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 21 days
Age of specimen in hours no data

Test 3 of 3

DIME Test ID: 2021-04-10-1-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/10/2021
Date Tested: 05/07/2021
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
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 - Sulfur Mortar Cap
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) 5360 psi
Maximum load on cylinder 1 153785 lb
Maximum load on cylinder 2 150310 lb
Compressive strength of cylinder 1 5420.7 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 5298.2 psi
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 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.