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Sample Record for 2022-05-18-35

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Project Information

Project ID: 214899 DEA: 033H4504 EFIS: 0318000001 QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-33.8/34.2
Work Description: CONSTRUCT RW, WIDEN RDWY, COLD PLANE AC PVMT, & HMA OVERLAY.
Location Description: EL DORADO COUNTY AT FRESH POND FROM 0.6 TO 0.2 MILE WEST OF FOREST ROAD/OUTER LIMITS LANE
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.
Contractor Address: 4950 Allison Parkway, # A, Vacaville, CA 95866
Resident Engineer: Jody Phillips Structure Rep.: Dave Carlin

Sample Information

DIME Sample ID: 2022-05-18-35
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 594-1991
Type of Sample: Quality Assurance
Type of Material: Cementitious
Sample Taken Date: 05/18/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/19/2022
The quantity of what the sample constitutes: 9 Grout Cubes
A brief description of the sample: 2" Cubes
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Grout Anchors
The fabricator/manufacturer/facility name: Grout Plant

Material Information

Brand: Grout
Mill: Grout
Type of Cementitious Material: Blended Cement
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2022-05-18-35-1
Test Method: ASTM C109-16a: Standard Test Method for Compressive Strength of Hydraulic Cement Mortars (Using 2-in. or [50-mm] Cube Specimens)
Verified Date: 05/23/2022
Date Tested: 05/23/2022
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: spencer.adams@dot.ca.gov
Organization Phone: (916) 227-5716
General Comments for this Test: Specimen 2 was eliminated from the average for being outside allowable limits per Section 12 of ASTM C109. Average of 3 specimens: 2250 psi
Test Result Compliance:
Additional Comments When Verified:
Will control cubes be used per ASTM C311? no
Age of specimen 5 days
The amount of flow no data %
The amount of water used 100.0 %
Compressive strength of 1st specimen 2347 psi
Compressive strength of 2nd specimen 2020 psi
Compressive strength of 3rd specimen 2381 psi
Average Compressive strength (to nearest 10 psi) 2360 psi

Test 2 of 3

DIME Test ID: 2022-05-18-35-2
Test Method: ASTM C109-16a: Standard Test Method for Compressive Strength of Hydraulic Cement Mortars (Using 2-in. or [50-mm] Cube Specimens)
Verified Date: 06/21/2022
Date Tested: 06/15/2022
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: spencer.adams@dot.ca.gov
Organization Phone: (916) 227-5716
General Comments for this Test: Specimen 2 was eliminated from the average for being outside allowable limits per Section 12 of ASTM C109
Test Result Compliance:
Additional Comments When Verified:
Will control cubes be used per ASTM C311? no
Age of specimen 28 days
The amount of flow no data %
The amount of water used 100.0 %
Compressive strength of 1st specimen 3343 psi
Compressive strength of 2nd specimen 3013 psi
Compressive strength of 3rd specimen 3274 psi
Average Compressive strength (to nearest 10 psi) 3310 psi

Test 3 of 3

DIME Test ID: 2022-05-18-35-3
Test Method: ASTM C109-16a: Standard Test Method for Compressive Strength of Hydraulic Cement Mortars (Using 2-in. or [50-mm] Cube Specimens)
Verified Date: 05/25/2022
Date Tested: 05/25/2022
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: spencer.adams@dot.ca.gov
Organization Phone: (916) 227-5716
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Will control cubes be used per ASTM C311? no
Age of specimen 7 days
The amount of flow no data %
The amount of water used 100.0 %
Compressive strength of 1st specimen 2548 psi
Compressive strength of 2nd specimen 2453 psi
Compressive strength of 3rd specimen 2401 psi
Average Compressive strength (to nearest 10 psi) 2470 psi