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Sample Record for 2015-07-07-4

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

Project Information

Project ID: 209356 DEA: 07278204 EFIS: 0700000538 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10,110,118,134,210,710-Var
Work Description: UPGRADE CURB RAMPS.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS
Contractor Name: STL Landscape, Inc
Contractor Address: 8122 Compton Ave, Los Angeles, CA 90001
Resident Engineer: Moe Izadpanah Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2015-07-07-4
TL Number from the TL Form: 10001F
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: 07/07/2015
Date that the sample was received by the laboratory/organization performing the testing: 07/10/2015
The quantity of what the sample constitutes: 4
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 912-01F
Structure unique identifier: 53 1748
Structure name: Central Ave OC Curb Ramp on Bridge
The fabricator/manufacturer/facility name: Robertsons

Material Information

The concrete mix design number: SC590B38
The truck number from where the sample was collected: 4813181
The batch plant ticket number from where the sample was collected: 9700275
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Plant
A detailed description of where the material sample was collected: Truck
Where the material sample would have been placed if not sampled: South East corner Curb Ramp
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2015-07-07-4-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/21/2015
Date Tested: 07/21/2015
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 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 2940 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

Test 2 of 2

DIME Test ID: 2015-07-07-4-2
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/12/2015
Date Tested: 08/04/2015
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 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 3790 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