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Sample Record for 2021-04-20-26

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

Project Information

Project ID: 214355 DEA: 120K0214 EFIS: 1214000096 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-12.4/14.5
Work Description: South County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. | Add one lane btwn 73 & Oso PKWY
Location Description: ORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 Cushing, Suite 200, Irvine, CA 92618
Resident Engineer: Artin Merati Structure Rep.: Imad Karam

Sample Information

DIME Sample ID: 2021-04-20-26
TL Number from the TL Form:
Sample Submitted By Organization: Coreslab
Sample Organization Contact: (909) 936-7741
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 04/20/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/20/2021
The quantity of what the sample constitutes: 33.6 CY
A brief description of the sample: 6x12 Cylinders
From where was the sample collected: Fabricator
Laboratory sample identification: 429
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Coreslab Structures L A Inc

Material Information

The concrete mix design number: 212
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 78408-78410
Concrete batch plant:
The fabricator/manufacturer designation for the sample: 119
A detailed description of where the material sample was collected: Bed 9 from front discharge RMT into wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 6

DIME Test ID: 2021-04-20-26-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 05/17/2021
Date Tested: 04/20/2021
Submitted By Organization: Coreslab
Organization Address: 150 West Placentia Avenue,
Organization City: Perris
Organization State: CA
Organization Zipcode: 92571
Organization Email: bmalott@coreslab.com
Organization Phone: (909) 936-7741
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 81 F

Test 2 of 6

DIME Test ID: 2021-04-20-26-2
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 05/17/2021
Date Tested: 04/20/2021
Submitted By Organization: Coreslab
Organization Address: 150 West Placentia Avenue,
Organization City: Perris
Organization State: CA
Organization Zipcode: 92571
Organization Email: bmalott@coreslab.com
Organization Phone: (909) 936-7741
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample 212
Volume of the measure 0.249 ft^3
Density of concrete 151.1 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content no data
Air content 1.4 %

Test 3 of 6

DIME Test ID: 2021-04-20-26-3
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 05/17/2021
Date Tested: 04/20/2021
Submitted By Organization: Coreslab
Organization Address: 150 West Placentia Avenue,
Organization City: Perris
Organization State: CA
Organization Zipcode: 92571
Organization Email: bmalott@coreslab.com
Organization Phone: (909) 936-7741
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 25 inch

Test 4 of 6

DIME Test ID: 2021-04-20-26-4
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/17/2021
Date Tested: 04/21/2021
Submitted By Organization: Coreslab
Organization Address: 150 West Placentia Avenue,
Organization City: Perris
Organization State: CA
Organization Zipcode: 92571
Organization Email: bmalott@coreslab.com
Organization Phone: (909) 936-7741
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
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Cross sectional area of cylinder 1 28.2 in^2
Cross sectional area of cylinder 2 28.2 in^2
Compressive strength (to nearest 10 psi) 4520 psi
Maximum load on cylinder 1 126054 lb
Maximum load on cylinder 2 128592 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 4
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 0 days
Age of specimen in hours 14 hours

Test 5 of 6

DIME Test ID: 2021-04-20-26-5
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/17/2021
Date Tested: 04/27/2021
Submitted By Organization: Coreslab
Organization Address: 150 West Placentia Avenue,
Organization City: Perris
Organization State: CA
Organization Zipcode: 92571
Organization Email: bmalott@coreslab.com
Organization Phone: (909) 936-7741
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
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Cross sectional area of cylinder 1 28.2 in^2
Cross sectional area of cylinder 2 28.2 in^2
Compressive strength (to nearest 10 psi) 8300 psi
Maximum load on cylinder 1 238290 lb
Maximum load on cylinder 2 229830 lb
Type of fracture pattern of cylinder 1 1
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 6 of 6

DIME Test ID: 2021-04-20-26-6
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/17/2021
Date Tested: 05/04/2021
Submitted By Organization: Coreslab
Organization Address: 150 West Placentia Avenue,
Organization City: Perris
Organization State: CA
Organization Zipcode: 92571
Organization Email: bmalott@coreslab.com
Organization Phone: (909) 936-7741
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
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Cross sectional area of cylinder 1 28.2 in^2
Cross sectional area of cylinder 2 28.2 in^2
Compressive strength (to nearest 10 psi) 8450 psi
Maximum load on cylinder 1 239136 lb
Maximum load on cylinder 2 237162 lb
Type of fracture pattern of cylinder 1 1
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 14 days
Age of specimen in hours 0 hours