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Sample Record for 2015-08-07-2

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

Project Information

Project ID: 210352 DEA: 072W9204 EFIS: 0714000321 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-29.4,29.5
Work Description: TREAT BRIDGE DECK AND REPLACE JOINT SEALS.
Location Description: LOS ANGELES COUNTY IN EL MONTE AT PECK ROAD UNDERCROSSING AND AT VALLEY BOULEVARD UNDERCROSSING
Contractor Name: ODONNELL CONSTRUCTION
Contractor Address: 559 W. Covina Boulevard, San Dimas, CA 91773
Resident Engineer: Hassan Azima Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2015-08-07-2
TL Number from the TL Form: 10001
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 08/07/2015
Date that the sample was received by the laboratory/organization performing the testing: 08/07/2015
The quantity of what the sample constitutes: 8
A brief description of the sample: 6X12
From where was the sample collected: Job Site
Laboratory sample identification: 916-01
Structure unique identifier: VALLEY BLVD OC
Structure name: EB AND WB 4FOOT CLOUSURE
The fabricator/manufacturer/facility name: JOB

Material Information

The concrete mix design number: 3FX50X001
The truck number from where the sample was collected: 367
The batch plant ticket number from where the sample was collected: 111010106
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: Unknown
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 4

DIME Test ID: 2015-08-07-2-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/11/2015
Date Tested: 08/10/2015
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
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) 3880 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 3 days

Test 2 of 4

DIME Test ID: 2015-08-07-2-2
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/12/2015
Date Tested: 08/12/2015
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
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) 4210 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 5 days

Test 3 of 4

DIME Test ID: 2015-08-07-2-3
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/20/2015
Date Tested: 08/14/2015
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
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) 4250 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 4 of 4

DIME Test ID: 2015-08-07-2-4
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/04/2015
Date Tested: 09/04/2015
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
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) 5560 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

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.