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Sample Record for 2023-01-20-22

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

Project Information

Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10-0.0/13.2
Work Description: Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location Description: LA/SBD County Line to PM 13.2 near I-15
Contractor Name: Lane-Security Paving Joint Venture
Contractor Address: 3450 Centre Lake Drive, 1st Floor, Ontario, CA 91761
Resident Engineer: Jose Corona Structure Rep.: Luis Negrete

Sample Information

DIME Sample ID: 2023-01-20-22
TL Number from the TL Form: 20A
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: 01/20/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/23/2023
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: 1015-20A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: LAME SECURITY

Material Information

The concrete mix design number: 1610974
The truck number from where the sample was collected: 10067785
The batch plant ticket number from where the sample was collected: 30599729
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: JOB
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2023-01-20-22-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 02/09/2023
Date Tested: 01/27/2023
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Apparent mass of submerged cylinder 1 0 lb
Average diameter of cylinder 1 5.99 in
Average diameter of cylinder 2 5.99 in
Cross sectional area of cylinder 1 28.18 in^2
Cross sectional area of cylinder 2 28.18 in^2
Compressive strength (to nearest 10 psi) 3060 psi
Maximum load on cylinder 1 82130 lb
Maximum load on cylinder 2 90370 lb
Compressive strength of cylinder 1 2914.5 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 3206.9 psi
Type of fracture pattern of cylinder 2 5
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 0 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available no data

Test 2 of 3

DIME Test ID: 2023-01-20-22-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 02/09/2023
Date Tested: 01/30/2023
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Apparent mass of submerged cylinder 1 0 lb
Average diameter of cylinder 1 5.98 in
Average diameter of cylinder 2 6.00 in
Cross sectional area of cylinder 1 28.09 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 3690 psi
Maximum load on cylinder 1 97505 lb
Maximum load on cylinder 2 110640 lb
Compressive strength of cylinder 1 3471.2 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 3913.7 psi
Type of fracture pattern of cylinder 2 5
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 0 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available no data

Test 3 of 3

DIME Test ID: 2023-01-20-22-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 02/17/2023
Date Tested: 02/17/2023
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Apparent mass of submerged cylinder 1 1 lb
Average diameter of cylinder 1 5.99 in
Average diameter of cylinder 2 6.00 in
Cross sectional area of cylinder 1 28.18 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 4750 psi
Maximum load on cylinder 1 135750 lb
Maximum load on cylinder 2 132355 lb
Compressive strength of cylinder 1 4817.2 psi
Type of fracture pattern of cylinder 1 4
Compressive strength of cylinder 2 4681.8 psi
Type of fracture pattern of cylinder 2 4
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 0 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available no data