Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214671 DEA: 07303904 EFIS: 0714000044
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-31.2/37.2
Work Description: LANE REPLACEMENT
Location Description: LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING
Contractor Name: Sierra Landscape Development Inc.
Contractor Address: 2209 1/2 Chico Ave., South El Monte CA, 91733
Resident Engineer: Hai Hong Structure Rep.: Unknown
DIME Sample ID: 2022-01-29-15
TL Number from the TL Form:
Sample Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Sample Organization Contact: (909) 833-5780
Type of Sample: Per Request
Type of Material: Concrete
Sample Taken Date: 01/29/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/29/2022
The quantity of what the sample constitutes: Per 500 CY
A brief description of the sample: A set of 2 LCB RS cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 22-0129
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Security Paving Burbank Batch Plant
The concrete mix design number: G322LRS271
The truck number from where the sample was collected: Load 3
The batch plant ticket number from where the sample was collected: 183445
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: See Below Notes
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2022-01-29-15-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 01/30/2022
Date Tested: 01/29/2022
Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Organization Address: 620 South Magnolia Avenue, Building G,
Organization City: Ontario
Organization State: CA
Organization Zipcode: 91762
Organization Email: mdorsch@kleinfelder.com
Organization Phone: (909) 833-5780
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
|
|
Capped in accordance with?
|
ASTM C617 - Sulfur Mortar Cap
|
|
Average diameter of cylinder 1
|
6.00 in
|
|
Average diameter of cylinder 2
|
6.00 in
|
|
Cross sectional area of cylinder 1
|
0 in^2
|
|
Cross sectional area of cylinder 2
|
0 in^2
|
|
Compressive strength (to nearest 10 psi)
|
220 psi
|
|
Maximum load on cylinder 1
|
0 lb
|
|
Maximum load on cylinder 2
|
0 lb
|
|
Type of fracture pattern of cylinder 1
|
1
|
|
Type of fracture pattern of cylinder 2
|
1
|
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
No diameter, load, and fracture pattern due to QC performing testing on the site.
|
|
Correction factor for cylinder 1
|
1
|
|
Correction factor for cylinder 2
|
1
|
|
Age of specimen
|
0 days
|
|
Age of specimen in hours
|
4 hours
|
