Sample Record for 2015-02-28-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 7427 DEA: 07215934 EFIS: 0700001833
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-2.4/4.0
Work Description: Widen and Realign Freeway and Construct Ped OC, OC and UC Structures.
Location Description: LOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM 0.1 MILE NORTH OF CARMENITA ROAD OVERCROSSING TO 0.1 MILE NORTH OF SILVERBOW AVENUE PEDESTRIAN OVERCROSSING
Contractor Name: FLATIRON WEST INC
Contractor Address: 1770 La Costa Meadows Drive, San Marcos, CA 92078
Resident Engineer: Mashhur Ali Structure Rep.: Steven Kim
Sample Information
DIME Sample ID: 2015-02-28-1
TL Number from the TL Form: 199542
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 02/28/2015
Date that the sample was received by the laboratory/organization performing the testing: 03/11/2015
The quantity of what the sample constitutes: 4
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 856-42
Structure unique identifier: BLOOMFIELD UC ABUT 1
Structure name: STAGE 1
The fabricator/manufacturer/facility name: FIELD
Material Information
The concrete mix design number: S72036
The truck number from where the sample was collected: NOT PROVIDED
The batch plant ticket number from where the sample was collected: 159099
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: NATIONAL READY MIX
A detailed description of where the material sample was collected: MIX TRUCK
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test Results
Test 1 of 1
DIME Test ID: 2015-02-28-1-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 03/30/2015
Date Tested: 03/30/2015
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:
Cross sectional area of cylinder 1
|
28.27 in^2
|
Cross sectional area of cylinder 2
|
28.27 in^2
|
Compressive strength (to nearest 10 psi)
|
5610 psi
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
Correction factor for cylinder 1
|
1
|
Age of specimen
|
30 days
|
Tests Assigned to this Sample
DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
2015-02-28-1-2 | CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders | 03/30/2015 | 04/11/2015 | Matthew Clayton | CT D08 - Fontana Southern Regional Laboratory | 42 day | |
1518