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Sample Record for 2021-12-21-16

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Project Information

Project ID: 215109 DEA: 081C8504 EFIS: 0813000047 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74-0.0/5.8
Work Description: ROADWAY EXCAVATION, HOT MIX ASPHALT, AND STRUCTURAL SHOTCRETE WALLS.
Location Description: RIVERSIDE COUNTY NEAR LAKE ELSINORE FROM ORANGE COUNTY LINE TO MONTE VISTA STREET
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 38000 MONROE STREET, INDIO, CA 92203
Resident Engineer: Osama Abdalla Structure Rep.: Ryan Kash (Reports)

Sample Information

DIME Sample ID: 2021-12-21-16
TL Number from the TL Form:
Sample Submitted By Organization: Jensen Precast - Fontana
Sample Organization Contact: 9096095937
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 12/21/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/22/2021
The quantity of what the sample constitutes: 4 cylinders
A brief description of the sample: 6"x12" concrete samples
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier: 08-1C8504 33 Riv.
Structure name: RTA Ortega Highway
The fabricator/manufacturer/facility name: Jensen Precast

Material Information

The concrete mix design number: 10
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 54477
Concrete batch plant: Jensen Fontana
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Conveyor belt
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: 2021-12-21-16-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/19/2022
Date Tested: 12/21/2021
Submitted By Organization: Jensen Precast - Fontana
Organization Address: 14221 San Bernardino Ave,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92335
Organization Email: avali@jensenprecast.com
Organization Phone: (909) 609-5937
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 4
Test performed With density determined by dimension measurements
Average cylinder density (to nearest 1 pcf) 30 lb/ft^3
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Average diameter of cylinder 3 6.00 in
Average diameter of cylinder 4 6.00 in
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Serial number of delivery ticket, if available no data

Test 2 of 2

DIME Test ID: 2021-12-21-16-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/19/2022
Date Tested: 12/21/2021
Submitted By Organization: Jensen Precast - Fontana
Organization Address: 14221 San Bernardino Ave,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92335
Organization Email: avali@jensenprecast.com
Organization Phone: (909) 609-5937
General Comments for this Test: Two cylinders tested at 7 days and two tested at 28 days. The average for 28 days = 7177 psi. Design strength = 6000 psi at 28 days.
Test Result Compliance:
Additional Comments When Verified: Concrete Test Results from Cast 12-21-21.
Unit system used? US Units
Number of specimens 4
Test performed With no density determined
Capped in accordance with? no data
Apparent mass of submerged cylinder 1 30 lb
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Average diameter of cylinder 3 6.00 in
Average diameter of cylinder 4 6.00 in
Cross sectional area of cylinder 1 3 in^2
Cross sectional area of cylinder 2 3 in^2
Cross sectional area of cylinder 3 3 in^2
Cross sectional area of cylinder 4 3 in^2
Compressive strength (to nearest 10 psi) 6000 psi
Maximum load on cylinder 1 180112 lb
Maximum load on cylinder 2 183351 lb
Maximum load on cylinder 3 199890 lb
Maximum load on cylinder 4 205950 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 3
Type of fracture pattern of cylinder 4 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
Correction factor for cylinder 3 1.00
Correction factor for cylinder 4 1.00
Age of specimen 7 days
Age of specimen in hours 168 hours
Serial number of delivery ticket, if available no data