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Sample Record for 2015-06-03-7

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

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: 2015-06-03-7
TL Number from the TL Form: 185003
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: 06/03/2015
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2015
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: 903-03
Structure unique identifier: SB I 110 at Slauson and Manchester
Structure name: Unknown
The fabricator/manufacturer/facility name: Collected at jobsite

Material Information

The concrete mix design number: 556300
The truck number from where the sample was collected: 273
The batch plant ticket number from where the sample was collected: Not Provided
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: SB I 110 at Slauson and Manchester
Where the material sample would have been placed if not sampled: Unknown
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2015-06-03-7-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/17/2015
Date Tested: 06/17/2015
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) 3600 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 14 days

Test 2 of 2

DIME Test ID: 2015-06-03-7-2
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/01/2015
Date Tested: 07/03/2015
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 28.46 in^2
Cross sectional area of cylinder 2 28.46 in^2
Compressive strength (to nearest 10 psi) 4540 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

Tests Assigned to this Sample

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