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Sample Record for 2015-05-22-3

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

Project Information

Project ID: 209453 DEA: 080J8504 EFIS: 0800000324 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-138-R24.1
Work Description: REPLACE EXISTING BRIDGE.
Location Description: SAN BERNARDINO COUNTY IN AND NEAR HESPERIA AT HORSETHIEF CREEK BRDIGE
Contractor Name: Steve P Rados Inc
Contractor Address: 2002 E McFadden Ave, Santa Ana, CA 92705
Resident Engineer: Amgad Benjamin Structure Rep.: Osama Abdalla

Sample Information

DIME Sample ID: 2015-05-22-3
TL Number from the TL Form: 15222
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 05/22/2015
Date that the sample was received by the laboratory/organization performing the testing: 05/27/2015
The quantity of what the sample constitutes: 6
A brief description of the sample: 6x12
From where was the sample collected: Job Site
Laboratory sample identification: 901-22
Structure unique identifier: HORSETHEIF CREEK BRIDGE 54 1271
Structure name: BENT 2 AND 3 AT SPLICE AREAS
The fabricator/manufacturer/facility name: JOB

Material Information

The concrete mix design number: HG78547A
The truck number from where the sample was collected: 174
The batch plant ticket number from where the sample was collected: 822026
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: CHUTE
Where the material sample would have been placed if not sampled: Unknown
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 4

DIME Test ID: 2015-05-22-3-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/08/2015
Date Tested: 06/08/2015
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
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) 4350 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 17 days

Test 2 of 4

DIME Test ID: 2015-05-22-3-2
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/15/2015
Date Tested: 06/15/2015
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
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) 4760 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 24 days

Test 3 of 4

DIME Test ID: 2015-05-22-3-3
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/13/2015
Date Tested: 07/13/2015
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Compressive strength of cylinder (to nearest 10 psi) 5630 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 52 days

Test 4 of 4

DIME Test ID: 2015-05-22-3-4
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/01/2015
Date Tested: 07/01/2015
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Compressive strength of cylinder (to nearest 10 psi) 5330 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 40 days

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.