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Sample Record for 2015-06-09-7

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

Project Information

Project ID: 209950 DEA: 080N56U4 EFIS: 0813000176 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R94.7/R99.7
Work Description: BRIDGE REPLACEMENTS.
Location Description: SAN BERNARDINO COUNTY NEAR ESSEX AT HALLER WASH BRIDGE AT ROJO WASH BRIDGE AND AT CLIPPER VALLEY WASH BRIDGE
Contractor Name: OHL USA, INC.
Contractor Address: 1920 MAIN STREET STE 310, Irvine, CA 92614
Resident Engineer: Darcy Davis Structure Rep.: Leonard Romero

Sample Information

DIME Sample ID: 2015-06-09-7
TL Number from the TL Form: 004
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Preliminary
Type of Material: Concrete
Sample Taken Date: 06/09/2015
Date that the sample was received by the laboratory/organization performing the testing: 06/10/2015
The quantity of what the sample constitutes: 5
A brief description of the sample: 6X12
From where was the sample collected: Job Site
Laboratory sample identification: 907-04
Structure unique identifier: TRIAL BATCH SET 4
Structure name: Unknown
The fabricator/manufacturer/facility name: JOB

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2015-06-09-7-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/07/2015
Date Tested: 07/07/2015
Submitted By Organization: CT - 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: 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
Cross sectional area of cylinder 3 28.46 in^2
Cross sectional area of cylinder 4 28.46 in^2
Cross sectional area of cylinder 5 28.46 in^2
Compressive strength (to nearest 10 psi) 5640 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.