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Sample Record for 2022-02-22-11

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

Project Information

Project ID: 209820 DEA: 04297634 EFIS: 0415000040 COOP: 042548 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-84,680-17.9/21
Work Description: ROUTE 84 WIDENING (4-LANE EXPRESSWAY) FROM I-680 TO PIGEON PASS, INCLUDING INTERSECTION, DRAINAGE IMPROVEMENTS AND UTILITY RELOCATION.
Location Description: ALAMEDA COUNTY IN AND NEAR SUNOL, PLEASANTON, AND LIVERMORE ON ROUTE 84 FROM 0.1 MILE EAST OF ROUTE 680 TO 0.1 MILE SOUTH OF RUBY HILL DRIVE AND ON ROUTE 680 FROM 1.2 MILES SOUTH TO 1.8 MILES NORTH OF ROUTE 84
Contractor Name: Bay Cities Paving & Grading
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
Resident Engineer: Hung Ngo Structure Rep.: Mohamed Kaddoura

Sample Information

DIME Sample ID: 2022-02-22-11
TL Number from the TL Form:
Sample Submitted By Organization: Con-Fab California Corporation - Lathrop
Sample Organization Contact: 209-249-4700
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 02/22/2022
Date that the sample was received by the laboratory/organization performing the testing: 02/23/2022
The quantity of what the sample constitutes: 1 C.Y. of Concrete
A brief description of the sample: 1 C.Y. of Concrete
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Con-Fab California, LLC

Material Information

The concrete mix design number: VER-90LV
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 4566
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Bed 1B, 2nd Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 4

DIME Test ID: 2022-02-22-11-1
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 02/23/2022
Date Tested: 02/22/2022
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 E. Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email:
Organization Phone: 209-249-4700
General Comments for this Test: Flow; VSI=0
Test Result Compliance:
Additional Comments When Verified:
Slump 22.5 inch

Test 2 of 4

DIME Test ID: 2022-02-22-11-2
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 02/23/2022
Date Tested: 02/22/2022
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 E. Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email:
Organization Phone: 209-249-4700
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 62 F

Test 3 of 4

DIME Test ID: 2022-02-22-11-3
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 02/23/2022
Date Tested: 02/22/2022
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 E. Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email:
Organization Phone: 209-249-4700
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample Middle of 2nd Truck
Volume of the measure 8.56 ft^3
Density of concrete 149.6 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content no data
Air content no data

Test 4 of 4

DIME Test ID: 2022-02-22-11-4
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 02/23/2022
Date Tested: 02/23/2022
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 E. Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email:
Organization Phone: 209-249-4700
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Apparent mass of submerged cylinder 1 8.8 lb
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
Average diameter of cylinder 3 4.00 in
Cross sectional area of cylinder 1 12.56 in^2
Cross sectional area of cylinder 2 12.56 in^2
Cross sectional area of cylinder 3 12.56 in^2
Compressive strength (to nearest 10 psi) 5080 psi
Maximum load on cylinder 1 63000 lb
Maximum load on cylinder 2 63800 lb
Maximum load on cylinder 3 64500 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 2
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
Correction factor for cylinder 3 1
Age of specimen 1 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available no data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.