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Sample Record for 2022-09-29-18

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

Project Information

Project ID: 214993 DEA: 051F5004 EFIS: 0514000003 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101,135-70.6/71.2;0.1
Work Description: CONSTRUCT CONCRETE BRIDGE, BRIDGE REMOVAL, COLD PLANE, PLACE HMA.
Location Description: SANTA BARBARA COUNTY AT LOS ALAMOS ON ROUTE 101 FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF ROUTE 101/135 SEPARATION AND ON ROUTE 135 AT ROUTE 101/135 SEPARATION
Contractor Name: CAL PORTLAND CONSTRUCTION
Contractor Address: 1625 E Donovan Road, Santa Maria, CA 93454
Resident Engineer: Jason Torres Structure Rep.: Alex Martinez

Sample Information

DIME Sample ID: 2022-09-29-18
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Sample Organization Contact:
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/29/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2022
The quantity of what the sample constitutes: 45cy
A brief description of the sample: PCC aggs
From where was the sample collected: Distributor
Laboratory sample identification: 220929A
Structure unique identifier:
Structure name: Los Alamos Bridge
The fabricator/manufacturer/facility name: Calportland/Donaven

Material Information

The concrete mix design number: 590GM1010
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: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 5

DIME Test ID: 2022-09-29-18-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/10/2022
Date Tested: 10/07/2022
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: 8day Bk abut. #1
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 4.01 in
Average diameter of cylinder 2 4.00 in
Average diameter of cylinder 3 4.00 in
Cross sectional area of cylinder 1 12.6 in^2
Cross sectional area of cylinder 2 12.58 in^2
Cross sectional area of cylinder 3 12.57 in^2
Compressive strength (to nearest 10 psi) 3040 psi
Maximum load on cylinder 1 38267 lb
Maximum load on cylinder 2 37827 lb
Maximum load on cylinder 3 38787 lb
Type of fracture pattern of cylinder 1 4
Type of fracture pattern of cylinder 2 4
Type of fracture pattern of cylinder 3 4
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 8 days
Age of specimen in hours 192 hours

Test 2 of 5

DIME Test ID: 2022-09-29-18-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/01/2022
Date Tested: 10/28/2022
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: 28 day Bk abut#1
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 4.01 in
Compressive strength of cylinder (to nearest 10 psi) 3750 psi
Maximum load on cylinder 1 47341 lb
Type of fracture pattern of cylinder 1 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 0
Age of specimen 28 days
Age of specimen in hours 672 hours

Test 3 of 5

DIME Test ID: 2022-09-29-18-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/11/2022
Date Tested: 11/10/2022
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: 42 day Bk abut#1
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 4.01 in
Average diameter of cylinder 2 4.00 in
Average diameter of cylinder 3 4.01 in
Cross sectional area of cylinder 1 12.6 in^2
Cross sectional area of cylinder 2 12.57 in^2
Cross sectional area of cylinder 3 12.6 in^2
Compressive strength (to nearest 10 psi) 3730 psi
Maximum load on cylinder 1 45682 lb
Maximum load on cylinder 2 48620 lb
Maximum load on cylinder 3 46773 lb
Type of fracture pattern of cylinder 1 3
Type of fracture pattern of cylinder 2 3
Type of fracture pattern of cylinder 3 3
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 42 days
Age of specimen in hours 1008 hours

Test 4 of 5

DIME Test ID: 2022-09-29-18-4
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 09/30/2022
Date Tested: 09/29/2022
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: abut.1
Test Result Compliance: complies
Additional Comments When Verified:
Temperature 81 F

Test 5 of 5

DIME Test ID: 2022-09-29-18-5
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 09/30/2022
Date Tested: 09/29/2022
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: abut.1
Test Result Compliance: does not comply
Additional Comments When Verified:
Slump 7.25 inch