Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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.:
DIME Sample ID: 2015-07-01-3
TL Number from the TL Form: 150701
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 07/01/2015
Date that the sample was received by the laboratory/organization performing the testing: 07/07/2015
The quantity of what the sample constitutes: 6
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 Slab and RW
The fabricator/manufacturer/facility name: Associate Ready Mix
The concrete mix design number: 557237
The truck number from where the sample was collected: 2
The batch plant ticket number from where the sample was collected: Not provided
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: TRUCK
Where the material sample would have been placed if not sampled: Slab and RW
From Lot No.:
Bag Lot No.:
DIME Test ID: 2015-07-01-3-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/09/2015
Date Tested: 07/08/2015
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
|
28.46 in^2
|
Cross sectional area of cylinder 2
|
28.46 in^2
|
Compressive strength (to nearest 10 psi)
|
3280 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
|
DIME Test ID: 2015-07-01-3-2
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/12/2015
Date Tested: 07/29/2015
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
|
Cross sectional area of cylinder 3
|
28.37 in^2
|
Cross sectional area of cylinder 4
|
28.37 in^2
|
Compressive strength (to nearest 10 psi)
|
4420 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
|