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Sample Record for 2023-03-13-9

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

Project Information

Project ID: 994155 DEA: 072XA504 EFIS: 0722000359 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-91-11.65
Work Description: Bridge Repair
Location Description:
Contractor Name: RV CONCRETE INC
Contractor Address: 605 E. COMMERCIAL ST., ANAHEIM CA 92801
Resident Engineer: Thang Ton Structure Rep.: James Holloway

Sample Information

DIME Sample ID: 2023-03-13-9
TL Number from the TL Form:
Sample Submitted By Organization: Con-Fab California, LLC
Sample Organization Contact: (661) 630-7162
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 03/13/2023
Date that the sample was received by the laboratory/organization performing the testing: 03/15/2023
The quantity of what the sample constitutes: One girder
A brief description of the sample: 4''X8'' Test Cylinder
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Con-Fab California, LLC

Material Information

The concrete mix design number: SCCS980FG
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 3205
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of the truck Chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 6

DIME Test ID: 2023-03-13-9-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 06/07/2024
Date Tested: 03/13/2023
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: trevorl@confabca.com
Organization Phone: (661) 630-3281
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 73 F

Test 2 of 6

DIME Test ID: 2023-03-13-9-3
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 06/07/2024
Date Tested: 03/13/2023
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: trevorl@confabca.com
Organization Phone: (661) 630-3281
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample Girder
Volume of the measure 0.25 ft^3
Density of concrete 153.7 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content no data
Air content 2.8 %

Test 3 of 6

DIME Test ID: 2023-03-13-9-4
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 06/07/2024
Date Tested: 03/13/2023
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: trevorl@confabca.com
Organization Phone: (661) 630-3281
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air content 2.8 %

Test 4 of 6

DIME Test ID: 2023-03-13-9-5
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/07/2024
Date Tested: 03/15/2023
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: trevorl@confabca.com
Organization Phone: (661) 630-3281
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
Capped in accordance with? no data
Apparent mass of submerged cylinder 1 1 lb
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
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) 7570 psi
Maximum load on cylinder 1 95335 lb
Maximum load on cylinder 2 94970 lb
Type of fracture pattern of cylinder 1 3
Type of fracture pattern of cylinder 2 3
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 2 days
Age of specimen in hours 16 hours
Serial number of delivery ticket, if available no data

Test 5 of 6

DIME Test ID: 2023-03-13-9-6
Test Method: CTM TEMP1-16: Test Method for Monitoring Precast Concrete Curing Temperature (Curing temperature)
Verified Date: 06/07/2024
Date Tested: 03/13/2023
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: trevorl@confabca.com
Organization Phone: (661) 630-3281
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Precast Maximum Curing Temperature 146 °F

Test 6 of 6

DIME Test ID: 2023-03-13-9-7
Test Method: ASTM C1611-21: Standard Test Method for Slump Flow of Self-Consolidating Concrete
Verified Date: 06/07/2024
Date Tested: 03/13/2023
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: trevorl@confabca.com
Organization Phone: (661) 630-3281
General Comments for this Test: Reported as 25.25"
Test Result Compliance:
Additional Comments When Verified:
What unit system is used for measurements? inches
Slump Flow 25.5 in
Filling the mold procedure Filling Procedure B (Inverted Mold)
Diameter 1 25.00 in
Diameter 2 25.50 in
Visual Stability Index 0