Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10-0.0/13.2
Work Description: Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location Description: LA/SBD County Line to PM 13.2 near I-15
Contractor Name: Lane-Security Paving Joint Venture
Contractor Address: 3450 Centre Lake Drive, 1st Floor, Ontario, CA 91761
Resident Engineer: Jose Corona Structure Rep.: Luis Negrete
DIME Sample ID: 2022-05-19-43
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: 05/19/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/20/2022
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: 1015-19A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Lane Security Paving Joint Venture
The concrete mix design number: G3-20-STR-233
The truck number from where the sample was collected: 25
The batch plant ticket number from where the sample was collected: 234923
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Load 5 I10EB, the RW 1269 in on the right shoulder of Euclid Ave. On-Ramp.
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2022-05-19-43-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/16/2022
Date Tested: 06/16/2022
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: (909) 829-3029
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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Capped in accordance with?
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no data
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Apparent mass of submerged cylinder 1
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no data0 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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5810 psi
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Maximum load on cylinder 1
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165615 lb
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Maximum load on cylinder 2
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162075 lb
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Compressive strength of cylinder 1
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5877.0 psi
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Type of fracture pattern of cylinder 1
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3
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Compressive strength of cylinder 2
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5751.4 psi
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Type of fracture pattern of cylinder 2
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1
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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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no data0 hours
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Serial number of delivery ticket, if available
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no data
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