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Sample Record for 2022-04-25-3

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

Project Information

Project ID: 214681 DEA: 021H5104 EFIS: 0216000148 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-99-9.0/9.3
Work Description: CHAMPLIN SLOUGH
Location Description: REPLACE BRIDGE IN TEHAMA COUNTY NEAR LOS MOLINOS FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF CHAMPLIN SLOUGH
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: 11315 Sunrise Gold Circle, Suite A, Rancho Cordova, CA 95742
Resident Engineer: George Moore Structure Rep.: George Moore

Sample Information

DIME Sample ID: 2022-04-25-3
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: 04/25/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/25/2022
The quantity of what the sample constitutes: 1 cubic ft. of Concrete for Testing
A brief description of the sample: 1 cubic ft. of Concrete taken from middle of batching
From where was the sample collected: Manufacturer
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-85LV
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 4868
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Bed 1A, Middle of 3rdTruck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2022-04-25-3-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 04/26/2022
Date Tested: 04/25/2022
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 72 F

Test 2 of 4

DIME Test ID: 2022-04-25-3-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 04/26/2022
Date Tested: 04/25/2022
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test: Flow: 23.5" VSI: 0
Test Result Compliance:
Additional Comments When Verified:
Slump 23.5 inch

Test 3 of 4

DIME Test ID: 2022-04-25-3-3
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 04/26/2022
Date Tested: 04/25/2022
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample 1A, 3rd Truck
Volume of the measure 0.25 ft^3
Density of concrete 151.1 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: 2022-04-25-3-4
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/26/2022
Date Tested: 04/26/2022
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
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
Capped in accordance with? no data
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) 4430 psi
Maximum load on cylinder 1 58400 lb
Maximum load on cylinder 2 55200 lb
Maximum load on cylinder 3 53100 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 no data0 hours
Serial number of delivery ticket, if available no data