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Sample Record for 2022-06-20-33

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

Project Information

Project ID: 993235 DEA: 051H4504 EFIS: 0516000075 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-154-R31.8/R32.1
Work Description: CONSTRUCT CIDH CONCRETE PILES AND STRUCTURAL CONCRETE BRIDGE.
Location Description: SANTA BARBARA COUNTY IN AND NEAR SANTA BARBARA FROM PRIMAVERA ROAD UNDERCROSSING TO LA COLINA ROAD UNDERCROSSING
Contractor Name: CA Rasmussen
Contractor Address: 28548 LIVINGSTON AVENUE, VALENICA CA 91355
Resident Engineer: Jeffery Finn Structure Rep.: Emiliano Berntsen

Sample Information

DIME Sample ID: 2022-06-20-33
TL Number from the TL Form:
Sample Submitted By Organization: RMA Group - Rancho Cucamonga
Sample Organization Contact: (909) 989-1751
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 06/20/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/22/2022
The quantity of what the sample constitutes: 21 CY
A brief description of the sample: Concrete Cylinder
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CEMEX Santa Barbara

Material Information

The concrete mix design number: 1612109
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 30304633
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2022-06-20-33-1
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 06/29/2022
Date Tested: 06/20/2022
Submitted By Organization: RMA Group - Rancho Cucamonga
Organization Address: 12130 Santa Margarita Court,
Organization City: Rancho Cucamonga
Organization State: CA
Organization Zipcode: 91730
Organization Email: cbachler@rmacompanies.com
Organization Phone: (909) 989-1751
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air Content 1.6 %

Test 2 of 5

DIME Test ID: 2022-06-20-33-2
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 06/29/2022
Date Tested: 06/20/2022
Submitted By Organization: RMA Group - Rancho Cucamonga
Organization Address: 12130 Santa Margarita Court,
Organization City: Rancho Cucamonga
Organization State: CA
Organization Zipcode: 91730
Organization Email: cbachler@rmacompanies.com
Organization Phone: (909) 989-1751
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 5.5 inch

Test 3 of 5

DIME Test ID: 2022-06-20-33-3
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 06/29/2022
Date Tested: 06/20/2022
Submitted By Organization: RMA Group - Rancho Cucamonga
Organization Address: 12130 Santa Margarita Court,
Organization City: Rancho Cucamonga
Organization State: CA
Organization Zipcode: 91730
Organization Email: cbachler@rmacompanies.com
Organization Phone: (909) 989-1751
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 85 F

Test 4 of 5

DIME Test ID: 2022-06-20-33-4
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/29/2022
Date Tested: 06/25/2022
Submitted By Organization: RMA Group - Rancho Cucamonga
Organization Address: 12130 Santa Margarita Court,
Organization City: Rancho Cucamonga
Organization State: CA
Organization Zipcode: 91730
Organization Email: cbachler@rmacompanies.com
Organization Phone: (909) 989-1751
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 6.00 in
Compressive strength of cylinder (to nearest 10 psi) 2730 psi
Maximum load on cylinder 1 77310 lb
Type of fracture pattern of cylinder 1 3
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 5 days
Age of specimen in hours 0 hours

Test 5 of 5

DIME Test ID: 2022-06-20-33-5
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/29/2022
Date Tested: 06/27/2022
Submitted By Organization: RMA Group - Rancho Cucamonga
Organization Address: 12130 Santa Margarita Court,
Organization City: Rancho Cucamonga
Organization State: CA
Organization Zipcode: 91730
Organization Email: cbachler@rmacompanies.com
Organization Phone: (909) 989-1751
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 6.03 in
Compressive strength of cylinder (to nearest 10 psi) 3230 psi
Maximum load on cylinder 1 92160 lb
Type of fracture pattern of cylinder 1 3
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 7 days
Age of specimen in hours 0 hours