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Sample Record for 2015-06-18-2

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

Project Information

Project ID: 208642 DEA: 07252004 EFIS: 0712000074 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-405-39.4/48.6
Work Description: REPLACE CONC PAVEMENT WITH PRECAST PRESTRESSED CONC PAVEMENT.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM ROUTE 405/101 SEPARATION TO ROUTE 405/5 SEPARATION
Contractor Name: MYERS AND SONS CONSTRUCTION LP
Contractor Address: 2554 Millcreek Drive, Sacramento, CA 95833
Resident Engineer: Eid Emile Structure Rep.:

Sample Information

DIME Sample ID: 2015-06-18-2
TL Number from the TL Form: S4 S3 S2 S1
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: 06/18/2015
Date that the sample was received by the laboratory/organization performing the testing: 06/22/2015
The quantity of what the sample constitutes: 8
A brief description of the sample: Concrete Cylinder 6 x 12
From where was the sample collected: Job Site
Laboratory sample identification: 910-01
Structure unique identifier: Unknown
Structure name: Austin Vault footing pour
The fabricator/manufacturer/facility name: Associate Ready mixed Concrete

Material Information

The concrete mix design number: 557237
The truck number from where the sample was collected: 488
The batch plant ticket number from where the sample was collected: 5184684
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Associate Ready mixed Concrete
A detailed description of where the material sample was collected: Back of Truck
Where the material sample would have been placed if not sampled: Unknown
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2015-06-18-2-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/22/2015
Date Tested: 06/22/2015
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: 9098293029
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) 2990 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 4 days

Test 2 of 3

DIME Test ID: 2015-06-18-2-2
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/25/2015
Date Tested: 06/25/2015
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: 9098293029
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) 3550 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 7 days

Test 3 of 3

DIME Test ID: 2015-06-18-2-3
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/03/2015
Date Tested: 07/03/2015
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: 9098293029
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) 3850 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
2015-06-18-2-4CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders06/22/201507/16/2015Matthew ClaytonCT D08 - Fontana Southern Regional Laboratory28 days