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Sample Record for 2022-10-12-60

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Project Information

Project ID: 993333 DEA: 04264724 EFIS: 0419000068 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-R20.8/27.1
Work Description: CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location Description: MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
Contractor Name: GHILOTTI CONSTRUCTION CO. INC. (RILEY GENAZZI & JOSH SERAFINO)
Contractor Address: 246 GHILOTTI AVE., SANTA ROSA, CA 95407
Resident Engineer: Fabio La Serna Structure Rep.: Jeremy Light

Sample Information

DIME Sample ID: 2022-10-12-60
TL Number from the TL Form:
Sample Submitted By Organization: Pavement Engineers
Sample Organization Contact: (530) 913-3751
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 10/12/2022
Date that the sample was received by the laboratory/organization performing the testing: 10/13/2022
The quantity of what the sample constitutes: 27
A brief description of the sample: SL-4201CG
From where was the sample collected: Job Site
Laboratory sample identification: S22-062
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shamrock

Material Information

The concrete mix design number: SL-4201CG
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 429031
Concrete batch plant:
The fabricator/manufacturer designation for the sample: SL-4201CG
A detailed description of where the material sample was collected: Back of Truck
Where the material sample would have been placed if not sampled: roofs and extensions
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 6

DIME Test ID: 2022-10-12-60-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: Pavement Engineers
Organization Address: 3650 Industrial Boulevard,
Organization City: West Sacramento
Organization State: CA
Organization Zipcode: 95691
Organization Email: michelleh@pavementengineering.com
Organization Phone: (530) 913-3751
This test has been superseded on 12/09/2022. The corrected test ID is: 2022-10-12-60-3
Reason: corrected

Test 2 of 6

DIME Test ID: 2022-10-12-60-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/08/2022
Date Tested: 11/09/2022
Submitted By Organization: Pavement Engineers
Organization Address: 3650 Industrial Boulevard,
Organization City: West Sacramento
Organization State: CA
Organization Zipcode: 95691
Organization Email: michelleh@pavementengineering.com
Organization Phone: (530) 913-3751
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Apparent mass of submerged cylinder 1 0 lb
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
Average diameter of cylinder 3 4.00 in
Cross sectional area of cylinder 1 12.57 in^2
Cross sectional area of cylinder 2 12.57 in^2
Cross sectional area of cylinder 3 12.57 in^2
Compressive strength (to nearest 10 psi) 7530 psi
Maximum load on cylinder 1 94955 lb
Maximum load on cylinder 2 92825 lb
Maximum load on cylinder 3 93895 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1.00
Correction factor for cylinder 2 1.00
Correction factor for cylinder 3 1.00
Age of specimen 28 days
Age of specimen in hours no data
Serial number of delivery ticket, if available 429031

Test 3 of 6

DIME Test ID: 2022-10-12-60-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/09/2022
Date Tested: 10/19/2022
Submitted By Organization: Pavement Engineers
Organization Address: 3650 Industrial Boulevard,
Organization City: West Sacramento
Organization State: CA
Organization Zipcode: 95691
Organization Email: michelleh@pavementengineering.com
Organization Phone: (530) 913-3751
General Comments for this Test:
The test was superseded from test ID: 2022-10-12-60-1
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Apparent mass of submerged cylinder 1 no data
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
Cross sectional area of cylinder 1 12.57 in^2
Cross sectional area of cylinder 2 12.57 in^2
Compressive strength (to nearest 10 psi) 5400 psi
Maximum load on cylinder 1 67810 lb
Maximum load on cylinder 2 67900 lb
Type of fracture pattern of cylinder 1 3
Type of fracture pattern of cylinder 2 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1.00
Correction factor for cylinder 2 1.00
Age of specimen 7 days
Age of specimen in hours no data
Serial number of delivery ticket, if available 429031

Test 4 of 6

DIME Test ID: 2022-10-12-60-4
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 12/13/2022
Date Tested: 10/12/2022
Submitted By Organization: Pavement Engineers
Organization Address: 3650 Industrial Boulevard,
Organization City: West Sacramento
Organization State: CA
Organization Zipcode: 95691
Organization Email: michelleh@pavementengineering.com
Organization Phone: (530) 913-3751
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample SL4201CG
Volume of the measure 0.25 ft^3
Density of concrete 156.4 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content no data
Air content no data

Test 5 of 6

DIME Test ID: 2022-10-12-60-5
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 12/13/2022
Date Tested: 10/12/2022
Submitted By Organization: Pavement Engineers
Organization Address: 3650 Industrial Boulevard,
Organization City: West Sacramento
Organization State: CA
Organization Zipcode: 95691
Organization Email: michelleh@pavementengineering.com
Organization Phone: (530) 913-3751
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air content 1.2 %

Test 6 of 6

DIME Test ID: 2022-10-12-60-6
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 12/13/2022
Date Tested: 10/12/2022
Submitted By Organization: Pavement Engineers
Organization Address: 3650 Industrial Boulevard,
Organization City: West Sacramento
Organization State: CA
Organization Zipcode: 95691
Organization Email: michelleh@pavementengineering.com
Organization Phone: (530) 913-3751
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 5 inch