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Sample Record for 2022-04-12-24

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

Project Information

Project ID: 215747 DEA: 081L4904 EFIS: 0820000086 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD,RIV-10-var
Work Description: INSTALL TRUCK PARKING AVAILABILITY SIGN AND LIGHTING SYSTEM.
Location Description: SAN BERNARDINO AND RIVERSIDE COUNTIES AT VARIOUS LOCATIONS
Contractor Name: ALFARO COMMUNICATIONS CONSTRUCTION, INC
Contractor Address: 15614 S ATLANTIC AVENUE, COMPTON CA 90221
Resident Engineer: Issa Taha Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-04-12-24
TL Number from the TL Form: E01
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: 04/12/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/14/2022
The quantity of what the sample constitutes: 4
A brief description of the sample: concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1038-01
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: EARTH SYSTEMS

Material Information

The concrete mix design number: 22027HE
The truck number from where the sample was collected: 61
The batch plant ticket number from where the sample was collected: 25811
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Wiley s well rest area Blythe CA
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: 2022-04-12-24-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/24/2022
Date Tested: 04/26/2022
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 5.97 in
Average diameter of cylinder 2 5.98 in
Cross sectional area of cylinder 1 27.99 in^2
Cross sectional area of cylinder 2 28.09 in^2
Compressive strength (to nearest 10 psi) 4920 psi
Maximum load on cylinder 1 137355 lb
Maximum load on cylinder 2 138470 lb
Compressive strength of cylinder 1 4907.3 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 4929.5 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 14 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available no data

Test 2 of 2

DIME Test ID: 2022-04-12-24-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/24/2022
Date Tested: 05/10/2022
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 5.98 in
Average diameter of cylinder 2 5.97 in
Cross sectional area of cylinder 1 28.09 in^2
Cross sectional area of cylinder 2 27.99 in^2
Compressive strength (to nearest 10 psi) 5220 psi
Maximum load on cylinder 1 144840 lb
Maximum load on cylinder 2 148090 lb
Compressive strength of cylinder 1 5156.3 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 5290.8 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 28 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available no data