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Sample Record for 2021-12-28-2

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Project Information

Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10-0.0/13.2
Work Description: Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location Description: LA/SBD County Line to PM 13.2 near I-15
Contractor Name: Lane-Security Paving Joint Venture
Contractor Address: 3450 Centre Lake Drive, 1st Floor, Ontario, CA 91761
Resident Engineer: Jose Corona Structure Rep.: Luis Negrete

Sample Information

DIME Sample ID: 2021-12-28-2
TL Number from the TL Form: 1
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: 12/28/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/29/2021
The quantity of what the sample constitutes: 8
A brief description of the sample: concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1015-1228
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: security paving

Material Information

The concrete mix design number: 1610887
The truck number from where the sample was collected: Not Provided
The batch plant ticket number from where the sample was collected: Not Provided
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Mountain Ave Bridge Deck I10 EB
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: 2021-12-28-2-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/14/2022
Date Tested: 01/07/2022
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 5.99 in
Average diameter of cylinder 2 6.00 in
Cross sectional area of cylinder 1 28.18 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 4800 psi
Maximum load on cylinder 1 134550 lb
Maximum load on cylinder 2 136640 lb
Compressive strength of cylinder 1 4774.7 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 4833.4 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 3

DIME Test ID: 2021-12-28-2-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/31/2022
Date Tested: 01/25/2022
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 6.00 in
Average diameter of cylinder 2 6.00 in
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) 6550 psi
Maximum load on cylinder 1 183430 lb
Maximum load on cylinder 2 186715 lb
Compressive strength of cylinder 1 6488.5 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 6604.7 psi
Type of fracture pattern of cylinder 2 3
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 3 of 3

DIME Test ID: 2021-12-28-2-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 02/08/2022
Date Tested: 02/08/2022
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 5.99 in
Average diameter of cylinder 2 6.00 in
Cross sectional area of cylinder 1 28.18 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 6750 psi
Maximum load on cylinder 1 190185 lb
Maximum load on cylinder 2 190615 lb
Compressive strength of cylinder 1 6748.9 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 6742.7 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 1.00
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