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Sample Record for 2022-08-17-77

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

Project Information

Project ID: 993150 DEA: 051G9704 EFIS: 0516000008 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-135-11.7/17.8
Work Description: COLD PLANE, OVERLAY ROADWAY WITH RHMA (GAP GRADED) AND ADA CURB RAMPS.
Location Description: SANTA BARBARA COUNTY IN AND NEAR SANTA MARIA FROM LAKEVIEW ROAD TO NORTH SANTA MARIA CONNECTOR
Contractor Name: CAL PORTLAND CONSTRUCTION
Contractor Address: 1625 E. Donovan, Santa Maria, Ca 93454
Resident Engineer: Thomas Petersen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-08-17-77
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Sample Organization Contact:
Type of Sample: Verification
Type of Material: Concrete
Sample Taken Date: 08/17/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/18/2022
The quantity of what the sample constitutes: 9cy
A brief description of the sample: 590GN1010 concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Calportland/Donaven

Material Information

The concrete mix design number: 590GN1010
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Job site
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2022-08-17-77-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 09/07/2022
Date Tested: 08/17/2022
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: salvador.lopez-zamora@dot.ca.gov
Organization Phone: (805) 748-3854
General Comments for this Test: complies
Test Result Compliance: complies
Additional Comments When Verified:
Temperature 70 F

Test 2 of 3

DIME Test ID: 2022-08-17-77-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 09/07/2022
Date Tested: 08/17/2022
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: salvador.lopez-zamora@dot.ca.gov
Organization Phone: (805) 748-3854
General Comments for this Test: Complies
Test Result Compliance: complies
Additional Comments When Verified:
Slump 4 inch

Test 3 of 3

DIME Test ID: 2022-08-17-77-4
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/07/2022
Date Tested: 09/09/2022
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: salvador.lopez-zamora@dot.ca.gov
Organization Phone: (805) 748-3854
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.01 in
Average diameter of cylinder 3 4.00 in
Cross sectional area of cylinder 1 4 in^2
Cross sectional area of cylinder 2 4 in^2
Cross sectional area of cylinder 3 4 in^2
Compressive strength (to nearest 10 psi) 3810 psi
Maximum load on cylinder 1 46612 lb
Maximum load on cylinder 2 49473 lb
Maximum load on cylinder 3 47662 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 4
Type of fracture pattern of cylinder 3 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Correction factor for cylinder 3 1
Age of specimen 28 days
Age of specimen in hours 672 hours