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Sample Record for 2015-06-16-1

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

Project Information

Project ID: 210075 DEA: 051F8404 EFIS: 0514000067 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-10.0/10.6
Work Description: REPLACE CONCRETE SLABS WITH PRECAST CONCRETE INDIVIDUAL SLABS.
Location Description: SANTA BARBARA COUNTY IN AND NEAR SANTA BARBARA FROM SAN YSIDRO ROAD OVERCROSSING TO OLIVE MILL ROAD OVERCROSSING
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 1792 KAISER AVENUE, IRVINE, CA 92614
Resident Engineer: Jason Kline Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2015-06-16-1
TL Number from the TL Form: L10 SRL6 15
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: 06/16/2015
Date that the sample was received by the laboratory/organization performing the testing: 06/17/2015
The quantity of what the sample constitutes: 2
A brief description of the sample: 6X12
From where was the sample collected: Job Site
Laboratory sample identification: 909-15
Structure unique identifier: SANTA BARBARA
Structure name: REPLACE CONCRETE SLABS
The fabricator/manufacturer/facility name: JOB

Material Information

The concrete mix design number: 1508576
The truck number from where the sample was collected: PC1
The batch plant ticket number from where the sample was collected: 41695828
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: TRANSIT MIXER
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: 2015-06-16-1-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/30/2015
Date Tested: 06/30/2015
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 28.37 in^2
Cross sectional area of cylinder 2 28.37 in^2
Compressive strength (to nearest 10 psi) 5650 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

Tests Assigned to this Sample

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