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Sample Record for 2021-10-07-14

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

Project Information

Project ID: 215188 DEA: 080F5434 EFIS: 0817000239 Permit Numbers: 0823NMC0369 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-I-15,SR-91-6.1-7.6
Work Description: I-15 ELC: 15/91 Express Lanes Connector Project (ELC)
Location Description: Junction of I-15 and SR-91 in Corona, CA
Contractor Name: Myers-Rados Joint Venture
Contractor Address: 629 N. Main Street, Suite C3, Corona, CA 92878
Resident Engineer: Roy Fisher Structure Rep.: Alhakem Alina

Sample Information

DIME Sample ID: 2021-10-07-14
TL Number from the TL Form: 007
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: 10/07/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/08/2021
The quantity of what the sample constitutes: 4
A brief description of the sample: 6x12
From where was the sample collected: Job Site
Laboratory sample identification: 1026-007
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: cemex

Material Information

The concrete mix design number: 1611615
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 29895535
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: job
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: 2021-10-07-14-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/04/2021
Date Tested: 11/04/2021
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
Apparent mass of submerged cylinder 1 0 lb
Average diameter of cylinder 1 5.98 in
Average diameter of cylinder 2 5.99 in
Cross sectional area of cylinder 1 28.09 in^2
Cross sectional area of cylinder 2 28.18 in^2
Compressive strength (to nearest 10 psi) 5000 psi
Maximum load on cylinder 1 139885 lb
Maximum load on cylinder 2 141480 lb
Compressive strength of cylinder 1 4979.9 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 5020.6 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 1.00
Correction factor for cylinder 2 1.00
Age of specimen 0 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available no data

Test 2 of 2

DIME Test ID: 2021-10-07-14-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/24/2021
Date Tested: 11/18/2021
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
Apparent mass of submerged cylinder 1 0 lb
Average diameter of cylinder 1 5.97 in
Average diameter of cylinder 2 5.98 in
Cross sectional area of cylinder 1 27.99 in^2
Cross sectional area of cylinder 2 28.09 in^2
Compressive strength (to nearest 10 psi) 5210 psi
Maximum load on cylinder 1 145405 lb
Maximum load on cylinder 2 146545 lb
Compressive strength of cylinder 1 5194.9 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 5217.0 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 1.00
Correction factor for cylinder 2 1.00
Age of specimen 0 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available no data