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Sample Record for 2021-12-22-6

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

Project Information

Project ID: 99999 DEA: 0322222 QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-12-22-6
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Sample Organization Contact: (562) 500-5861
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 12/22/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/22/2021
The quantity of what the sample constitutes: 250 cy
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons Rialto

Material Information

The concrete mix design number: 12345
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 12345677
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete from wheelbarrow
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: 2021-12-22-6-1
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/22/2021
Date Tested: 12/29/2021
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
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) 40 psi
Maximum load on cylinder 1 1000 lb
Maximum load on cylinder 2 1100 lb
Compressive strength of cylinder 1 35.2 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 38.7 psi
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 7 days
Age of specimen in hours 0 hours

Test 2 of 2

DIME Test ID: 2021-12-22-6-2
Test Method: AASHTO T336-15: Standard Method of Test for Coefficient of Thermal Expansion of Hydraulic Cement Concrete
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.