Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215188 DEA: 080F5434 EFIS: 0817000239 Permit Numbers: 0823NMC0369
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-I-15,SR-91-6.1-7.6
Work Description: I-15 ELC: 15/91 Express Lanes Connector Project (ELC)
Location Description: Junction of I-15 and SR-91 in Corona, CA
Contractor Name: Myers-Rados Joint Venture
Contractor Address: 629 N. Main Street, Suite C3, Corona, CA 92878
Resident Engineer: Roy Fisher Structure Rep.: Alhakem Alina
DIME Sample ID: 2022-04-26-22
TL Number from the TL Form: 1
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: 04/26/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/27/2022
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: 1026-426
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Myers - Rados Joint Venture
The concrete mix design number: 1614705
The truck number from where the sample was collected: NA
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: WB Temescal Abutment 18 LOAD 4
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2022-04-26-22-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/31/2022
Date Tested: 05/24/2022
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:
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Unit system used?
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US Units
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Number of specimens
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2
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Test performed
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With no density determined
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Apparent mass of submerged cylinder 1
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0 lb
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Average diameter of cylinder 1
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5.99 in
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Average diameter of cylinder 2
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5.99 in
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Cross sectional area of cylinder 1
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28.18 in^2
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Cross sectional area of cylinder 2
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28.18 in^2
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Compressive strength (to nearest 10 psi)
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5470 psi
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Maximum load on cylinder 1
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157900 lb
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Maximum load on cylinder 2
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150310 lb
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Compressive strength of cylinder 1
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5603.3 psi
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Type of fracture pattern of cylinder 1
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2
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Compressive strength of cylinder 2
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5333.9 psi
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Type of fracture pattern of cylinder 2
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3
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Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
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Correction factor for cylinder 1
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1.00
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Correction factor for cylinder 2
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1.00
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Age of specimen
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28 days
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Age of specimen in hours
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0 hours
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Serial number of delivery ticket, if available
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no data
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