Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2022-04-27-11
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: 04/27/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/27/2022
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
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: 4872
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.:
DIME Test ID: 2022-04-27-11-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/29/2022
Date Tested: 04/28/2022
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
|
Apparent mass of submerged cylinder 1
|
8.78 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)
|
4910 psi
|
Maximum load on cylinder 1
|
61000 lb
|
Maximum load on cylinder 2
|
63200 lb
|
Maximum load on cylinder 3
|
60800 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
|
1.00
|
Correction factor for cylinder 2
|
1.00
|
Correction factor for cylinder 3
|
1.00
|
Age of specimen
|
1 days
|
Age of specimen in hours
|
0 hours
|
Serial number of delivery ticket, if available
|
no data
|
DIME Test ID: 2022-04-27-11-2
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 04/29/2022
Date Tested: 04/28/2022
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:
DIME Test ID: 2022-04-27-11-3
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 04/29/2022
Date Tested: 04/28/2022
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: 22.5"
VSI: 0
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2022-04-27-11-4
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/25/2022
Date Tested: 05/25/2022
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:
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)
|
8060 psi
|
Maximum load on cylinder 1
|
105600 lb
|
Maximum load on cylinder 2
|
99000 lb
|
Maximum load on cylinder 3
|
99200 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
|
1.00
|
Correction factor for cylinder 2
|
1.00
|
Correction factor for cylinder 3
|
1.00
|
Age of specimen
|
28 days
|
Age of specimen in hours
|
0 hours
|
Serial number of delivery ticket, if available
|
no data
|