Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2023-03-06-26
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: 03/06/2023
Date that the sample was received by the laboratory/organization performing the testing: 03/08/2023
The quantity of what the sample constitutes: 14 yards
A brief description of the sample: 3728LV (Fibers)
From where was the sample collected: Job Site
Laboratory sample identification: 22-082
Structure unique identifier:
Structure name: Rte 101 Median Olive Street Bridge Closure
The fabricator/manufacturer/facility name: Shamrock Petaluma
The concrete mix design number: 3728LV
The truck number from where the sample was collected: 2452
The batch plant ticket number from where the sample was collected: 296100
Concrete batch plant:
The fabricator/manufacturer designation for the sample: 3728LV
A detailed description of where the material sample was collected: back of truck
Where the material sample would have been placed if not sampled: concrete
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-03-06-26-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 03/15/2023
Date Tested: 03/13/2023
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
|
2
|
|
Test performed
|
With no density determined
|
|
Apparent mass of submerged cylinder 1
|
0 lb
|
|
Average diameter of cylinder 1
|
3.99 in
|
|
Average diameter of cylinder 2
|
3.99 in
|
|
Cross sectional area of cylinder 1
|
12.5 in^2
|
|
Cross sectional area of cylinder 2
|
12.5 in^2
|
|
Compressive strength (to nearest 10 psi)
|
5690 psi
|
|
Maximum load on cylinder 1
|
71110 lb
|
|
Maximum load on cylinder 2
|
71075 lb
|
|
Type of fracture pattern of cylinder 1
|
1
|
|
Type of fracture pattern of cylinder 2
|
6
|
|
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
|
296100
|
