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Sample Record for 2021-07-12-45

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

Project Information

Project ID: 215182 DEA: 08476424 EFIS: 0816000186 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-215,259-4.0/17.8,0.0/1.5
Work Description: INSTALL FIBER OPTIC CABLE SYSTEM.
Location Description: SAN BERNARDINO COUNTY IN AND NEAR SAN BERNARDINO ON ROUTE 215 FROM ROUTE 215/10 SEPARATION TO ROUTE 215/15 SEPARATION AND ON ROUTE 259 FROM ROUTE 259/215 SEPARATION TO ROUTE 259/210 SEPARATION
Contractor Name: Aldridge Electric
Contractor Address: 2369 Yates Ave, Commerce Ca. 90040
Resident Engineer: Lawrance Yaacoub Structure Rep.: Ching Chuang

Sample Information

DIME Sample ID: 2021-07-12-45
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: 07/12/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/02/2021
The quantity of what the sample constitutes: 2
A brief description of the sample: concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1033-712
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons

Material Information

The concrete mix design number: SC590B38
The truck number from where the sample was collected: 1439
The batch plant ticket number from where the sample was collected: 6137225
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: SB RT 215 Post Mile 12.8
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2021-07-12-45-1
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 08/03/2021
Date Tested: 08/03/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Average diameter of cylinder 1 6.00 in
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Cross sectional area of cylinder 1 28.27 in^2
Compressive strength of cylinder (to nearest 10 psi) 4050 psi
Maximum load on cylinder 1 114585 lb
Type of fracture pattern of cylinder 1 1
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 22 days
Age of specimen in hours 0 hours

Test 2 of 2

DIME Test ID: 2021-07-12-45-2
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 08/09/2021
Date Tested: 08/09/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Average diameter of cylinder 1 6.00 in
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Cross sectional area of cylinder 1 28.27 in^2
Compressive strength of cylinder (to nearest 10 psi) 4260 psi
Maximum load on cylinder 1 120368 lb
Type of fracture pattern of cylinder 1 1
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 28 days
Age of specimen in hours 0 hours

Tests Assigned to this Sample

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