Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-6.7/R25.1
Work Description: Remove concrete pavement and base, and place HMA and JPCP
Location Description: ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
Contractor Name: Coffman Specialties
Contractor Address: 9685 Via Excelencia, San Diego, CA 92126
Resident Engineer: Elvira Lenart Structure Rep.: Unknown
DIME Sample ID: 2022-01-05-15
TL Number from the TL Form: 61RR
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: 01/05/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/06/2022
The quantity of what the sample constitutes: 6
A brief description of the sample: concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1012-61RR
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Coffman Specialties, Inc
The concrete mix design number: 1906-17
The truck number from where the sample was collected: 17
The batch plant ticket number from where the sample was collected: 17
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: EB I 10 STA 149 25 LOAD 17
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2022-01-05-15-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/14/2022
Date Tested: 01/12/2022
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: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used?
|
US Units
|
Number of specimens
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2
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Test performed
|
With no density determined
|
Capped in accordance with?
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no data
|
Apparent mass of submerged cylinder 1
|
0 lb
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Average diameter of cylinder 1
|
5.96 in
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Average diameter of cylinder 2
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5.97 in
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Cross sectional area of cylinder 1
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27.9 in^2
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Cross sectional area of cylinder 2
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27.99 in^2
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Compressive strength (to nearest 10 psi)
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3970 psi
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Maximum load on cylinder 1
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110860 lb
|
Maximum load on cylinder 2
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111130 lb
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Compressive strength of cylinder 1
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3973.5 psi
|
Type of fracture pattern of cylinder 1
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3
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Compressive strength of cylinder 2
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3970.3 psi
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Type of fracture pattern of cylinder 2
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3
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Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
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Correction factor for cylinder 1
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1.00
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Correction factor for cylinder 2
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1.00
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Age of specimen
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0 days
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Age of specimen in hours
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0 hours
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Serial number of delivery ticket, if available
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no data
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