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Sample Record for 2021-07-02-31

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

Project Information

Project ID: 213099 DEA: 041A6614 EFIS: 0415000291 COOP: 042683A1 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-8.4
Work Description: CONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location Description:
Contractor Name: Disney Construction
Contractor Address: 533 airport Blvd, Suite 120, Burlingame, CA 94010
Resident Engineer: Steven Russell Structure Rep.: Long Ly

Sample Information

DIME Sample ID: 2021-07-02-31
TL Number from the TL Form:
Sample Submitted By Organization: Disney Construction, Incorporated
Sample Organization Contact: (707) 812-0766
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 07/02/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/05/2021
The quantity of what the sample constitutes: 15 CY
A brief description of the sample: SL-4707CG
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Piles F41
The fabricator/manufacturer/facility name: Shamrock Materials Inc

Material Information

The concrete mix design number: SL-4707CG
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 1
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of truck discharge chute
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: 2021-07-02-31-1
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C39 - Ground End
Verified Date: 09/03/2021
Date Tested: 07/09/2021
Submitted By Organization: Disney Construction, Incorporated
Organization Address: 533 Airport Blvd Ste 120,
Organization City: Burlingame
Organization State: CA
Organization Zipcode: 94010
Organization Email: hcastillo@disneyconstruction.com
Organization Phone: (707) 812-0766
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
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Capped in accordance with? ASTM C39 - Ground End
Compressive strength (to nearest 10 psi) 5065 psi
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Maximum load on cylinder 1 146990 lb
Maximum load on cylinder 2 139400 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 6 days

Test 2 of 3

DIME Test ID: 2021-07-02-31-2
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617 - Sulfur Mortar Cap
Verified Date: 09/03/2021
Date Tested: 07/16/2021
Submitted By Organization: Disney Construction, Incorporated
Organization Address: 533 Airport Blvd Ste 120,
Organization City: Burlingame
Organization State: CA
Organization Zipcode: 94010
Organization Email: hcastillo@disneyconstruction.com
Organization Phone: (707) 812-0766
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
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Compressive strength (to nearest 10 psi) 7025 psi
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Maximum load on cylinder 1 184300 lb
Maximum load on cylinder 2 212990 lb
Type of fracture pattern of cylinder 1 4
Type of fracture pattern of cylinder 2 1
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 13 days

Test 3 of 3

DIME Test ID: 2021-07-02-31-3
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C39 - Ground End
Verified Date: 09/03/2021
Date Tested: 07/30/2021
Submitted By Organization: Disney Construction, Incorporated
Organization Address: 533 Airport Blvd Ste 120,
Organization City: Burlingame
Organization State: CA
Organization Zipcode: 94010
Organization Email: hcastillo@disneyconstruction.com
Organization Phone: (707) 812-0766
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Cross sectional area of cylinder 1 12.57 in^2
Cross sectional area of cylinder 2 12.57 in^2
Cross sectional area of cylinder 3 12.57 in^2
Capped in accordance with? ASTM C39 - Ground End
Compressive strength (to nearest 10 psi) 9730 psi
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
Average diameter of cylinder 3 4.00 in
Maximum load on cylinder 1 128870 lb
Maximum load on cylinder 2 125410 lb
Maximum load on cylinder 3 112710 lb
Type of fracture pattern of cylinder 1 1
Type of fracture pattern of cylinder 2 4
Type of fracture pattern of cylinder 3 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
Correction factor for cylinder 3 1
Age of specimen 27 days