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Sample Record for 2015-04-21-5

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Project Information

Project ID: 209916 DEA: 07259024 EFIS: 0713000046 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5,10,91,110,134-Var
Work Description: INSTALL AUSTIN VAULT SAND FILTERS AND BIOFILTRATION SWALE AND STRIPS
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS
Contractor Name: Ortiz Enterprise, Inc
Contractor Address: 6 Cushing Suite 200, Irvine, CA 92618
Resident Engineer: Sam Gallardo Structure Rep.: Adriana Pimienta

Sample Information

DIME Sample ID: 2015-04-21-5
TL Number from the TL Form: 150421
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Concrete
Sample Taken Date: 04/21/2015
Date that the sample was received by the laboratory/organization performing the testing: 04/23/2015
The quantity of what the sample constitutes: 8
A brief description of the sample: 6x12 concrete cylindes
From where was the sample collected: Job Site
Laboratory sample identification: 903-21
Structure unique identifier:
Structure name: AVSF
The fabricator/manufacturer/facility name: Associate Ready Mix

Material Information

The concrete mix design number: 556300
The truck number from where the sample was collected: 448
The batch plant ticket number from where the sample was collected: 046
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Fig 8 and 9
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 4

DIME Test ID: 2015-04-21-5-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 04/24/2015
Date Tested: 04/24/2015
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 victoria st,
Organization City: fontana
Organization State:
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) 2710 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 3 days

Test 2 of 4

DIME Test ID: 2015-04-21-5-2
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/01/2015
Date Tested: 04/27/2015
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 victoria st,
Organization City: fontana
Organization State:
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) 3450 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 6 days

Test 3 of 4

DIME Test ID: 2015-04-21-5-3
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/01/2015
Date Tested: 05/01/2015
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 victoria st,
Organization City: fontana
Organization State:
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) 3690 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 10 days

Test 4 of 4

DIME Test ID: 2015-04-21-5-4
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/19/2015
Date Tested: 05/19/2015
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 victoria st,
Organization City: fontana
Organization State:
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) 4710 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 28 days