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Sample Record for 2022-11-23-5

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: 2022-11-23-5
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: 11/23/2022
Date that the sample was received by the laboratory/organization performing the testing: 11/24/2022
The quantity of what the sample constitutes: 7 cy
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Los Alamos Bridge
The fabricator/manufacturer/facility name: Calportland/Donaven

Material Information

The concrete mix design number: 590GN1060
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: abut 1 back wall
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 5

DIME Test ID: 2022-11-23-5-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/01/2022
Date Tested: 11/30/2022
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 back wall 7 day BK
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 3.98 in
Average diameter of cylinder 2 4.03 in
Average diameter of cylinder 3 3.95 in
Cross sectional area of cylinder 1 12.44 in^2
Cross sectional area of cylinder 2 12.6 in^2
Cross sectional area of cylinder 3 12.25 in^2
Compressive strength (to nearest 10 psi) 3420 psi
Maximum load on cylinder 1 42942 lb
Maximum load on cylinder 2 42746 lb
Maximum load on cylinder 3 41958 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 0
Correction factor for cylinder 2 0
Correction factor for cylinder 3 0
Age of specimen 7 days
Age of specimen in hours 168 hours

Test 2 of 5

DIME Test ID: 2022-11-23-5-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/21/2022
Date Tested: 12/21/2022
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 back wall 28 day BK
Test Result Compliance: complies
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 3.99 in
Average diameter of cylinder 2 3.99 in
Average diameter of cylinder 3 4.00 in
Cross sectional area of cylinder 1 12.53 in^2
Cross sectional area of cylinder 2 12.52 in^2
Cross sectional area of cylinder 3 12.57 in^2
Compressive strength (to nearest 10 psi) 4430 psi
Maximum load on cylinder 1 53987 lb
Maximum load on cylinder 2 56642 lb
Maximum load on cylinder 3 56102 lb
Type of fracture pattern of cylinder 1 4
Type of fracture pattern of cylinder 2 4
Type of fracture pattern of cylinder 3 6
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 0
Correction factor for cylinder 2 0
Correction factor for cylinder 3 0
Age of specimen 28 days
Age of specimen in hours 672 hours

Test 3 of 5

DIME Test ID: 2022-11-23-5-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 01/10/2023
Date Tested: 01/04/2023
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 back wall 42 day BK
Test Result Compliance: complies
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 3.97 in
Average diameter of cylinder 2 3.98 in
Average diameter of cylinder 3 3.98 in
Cross sectional area of cylinder 1 12.38 in^2
Cross sectional area of cylinder 2 12.42 in^2
Cross sectional area of cylinder 3 12.42 in^2
Compressive strength (to nearest 10 psi) 5130 psi
Maximum load on cylinder 1 64689 lb
Maximum load on cylinder 2 64779 lb
Maximum load on cylinder 3 61188 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
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: 2022-11-23-5-4
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 11/23/2022
Date Tested: 11/23/2022
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:
Test Result Compliance: complies
Additional Comments When Verified:
Slump 4.5 inch

Test 5 of 5

DIME Test ID: 2022-11-23-5-5
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 11/23/2022
Date Tested: 11/23/2022
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:
Test Result Compliance: complies
Additional Comments When Verified:
Temperature 65 F