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Sample Record for 2021-07-09-3

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

Project Information

Project ID: 215350 DEA: 081E0604 EFIS: 0813000140 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-18-97.0/99.5
Work Description: WIDEN ROADWAY WITH HMA, MINOR CONCRETE & MODIFY SIGNAL & LIGHTING.
Location Description: SAN BERNARDINO COUNTY IN VICTORVILLE FROM AMARGOSA ROAD TO COBALT ROAD
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: 135 S STATE COLLEGE BLVD #400, BREA CA 92821
Resident Engineer: Larry Canuti Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-09-3
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 07/09/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/10/2021
The quantity of what the sample constitutes: 6
A brief description of the sample: concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1031-79
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hi Grade - Oro Grande

Material Information

The concrete mix design number: CT675F25
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: site
Where the material sample would have been placed if not sampled: RCB DS10 NE Amethyst
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2021-07-09-3-1
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 08/06/2021
Date Tested: 08/06/2021
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: 9098293029
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 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 4850 psi
Maximum load on cylinder 1 134870 lb
Maximum load on cylinder 2 139080 lb
Compressive strength of cylinder 1 4770.8 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 4919.7 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 0 hours

Test 2 of 2

DIME Test ID: 2021-07-09-3-2
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 07/16/2021
Date Tested: 07/16/2021
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: 9098293029
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 6.01 in
Average diameter of cylinder 2 6.02 in
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
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) 3440 psi
Maximum load on cylinder 1 95852 lb
Maximum load on cylinder 2 99645 lb
Compressive strength of cylinder 1 3378.6 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 3501.2 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 7 days
Age of specimen in hours 0 hours