Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 5266 DEA: 08448404 EFIS: 0800000712 COOP: 081488A1
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-91-15.6/21.6
Work Description: CONSTRUCT HOV LANES AND WIDEN BRIDGES.
Location Description: RIVERSIDE COUNTY IN RIVERSIDE FROM ADAMS STREET TO THE ROUTE 60/215 SEPARATION
Contractor Name: SEMA CONSTRUCTION INC
Contractor Address: 320 Goddard, Suite 150, , Irvine, CA 92618
Resident Engineer: Joseph Lopez Structure Rep.: Al-Hakem Alina
DIME Sample ID: 2015-06-09-8
TL Number from the TL Form: 015 69
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Control
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: 4
A brief description of the sample: 6X12
From where was the sample collected: Job Site
Laboratory sample identification: 825-69
Structure unique identifier: SR 91 FROM MADISON TO UNIVERSITY RD RIVERSIDE
Structure name: DS 108g MANHOLE EZ AT VINE STREET
The fabricator/manufacturer/facility name: JOB
The concrete mix design number: SC590B38
The truck number from where the sample was collected: 1
The batch plant ticket number from where the sample was collected: 1065345
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: FORM
Where the material sample would have been placed if not sampled: Unknown
From Lot No.:
Bag Lot No.:
DIME Test ID: 2015-06-09-8-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/15/2015
Date Tested: 06/12/2015
Submitted By Organization: CT D08 - Fontana 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: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Compressive strength of cylinder (to nearest 10 psi)
|
1920 psi
|
|
Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
|
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Correction factor for cylinder 1
|
1.00
|
|
Age of specimen
|
3 days
|
DIME Test ID: 2015-06-09-8-2
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 D08 - Fontana 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: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Cross sectional area of cylinder 1
|
28.18 in^2
|
|
Cross sectional area of cylinder 2
|
28.18 in^2
|
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Compressive strength (to nearest 10 psi)
|
4060 psi
|
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Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
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Correction factor for cylinder 1
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1.00
|
|
Age of specimen
|
28 days
|
DIME Test ID: 2015-06-09-8-3
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 D08 - Fontana 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: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Compressive strength of cylinder (to nearest 10 psi)
|
2390 psi
|
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
|
Correction factor for cylinder 1
|
1.00
|
|
Age of specimen
|
6 days
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