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Sample Record for 2023-04-06-20

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

Project Information

Project ID: 994140 DEA: 09389905 EFIS: 0921000017 MINOR: 09A0887 QA Service Level: 1
DIST-CO-RTE-PM: 09--57-13
Work Description: At the Mojave Highway Maintenance Station, construct new area lighting including but not limited to light pole, foundation and electrical components.
Location Description:
Contractor Name: LEE WILSON ELECTRIC COMPANY INC
Contractor Address: PO Box 250, Arroyo Grande, Ca 93420
Resident Engineer: Hindrawan Hartanto Structure Rep.: Alex Naime

Sample Information

DIME Sample ID: 2023-04-06-20
TL Number from the TL Form: 1049-406
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: 04/06/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/06/2023
The quantity of what the sample constitutes: 6
A brief description of the sample: 4x8 Concrete Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1049-406
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Holliday Rock

Material Information

The concrete mix design number: 3F36L001
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: Not Provided
Concrete batch plant: Holliday Rock
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Light Pole Pull Box 5
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2023-04-06-20-1
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617 - Sulfur Mortar Cap
Verified Date: 05/11/2023
Date Tested: 05/04/2023
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 3
Test performed With no density determined
Cross sectional area of cylinder 1 12.63 in^2
Cross sectional area of cylinder 2 12.57 in^2
Cross sectional area of cylinder 3 12.57 in^2
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Compressive strength (to nearest 10 psi) 3880 psi
Average diameter of cylinder 1 4.01 in
Average diameter of cylinder 2 4.00 in
Compressive strength of cylinder 1 3945.4 psi
Compressive strength of cylinder 2 3807.5 psi
Average diameter of cylinder 3 4.00 in
Compressive strength of cylinder 3 3891.4 psi
Maximum load on cylinder 1 49830 lb
Maximum load on cylinder 2 47860 lb
Maximum load on cylinder 3 48915 lb
Type of fracture pattern of cylinder 1 5
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
Correction factor for cylinder 2 1
Correction factor for cylinder 3 1
Age of specimen 28 days

Test 2 of 2

DIME Test ID: 2023-04-06-20-3
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617 - Sulfur Mortar Cap
Verified Date: 06/28/2023
Date Tested: 06/01/2023
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: C/O Matthew Clayton: please break remaining cylinders on hold at 56 days. Thank you.
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
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
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Compressive strength (to nearest 10 psi) 4300 psi
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
Compressive strength of cylinder 1 4288.8 psi
Compressive strength of cylinder 2 4180.6 psi
Average diameter of cylinder 3 4.00 in
Compressive strength of cylinder 3 4442.3 psi
Maximum load on cylinder 1 53910 lb
Maximum load on cylinder 2 52550 lb
Maximum load on cylinder 3 55840 lb
Type of fracture pattern of cylinder 1 1
Type of fracture pattern of cylinder 2 1
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
Correction factor for cylinder 2 1
Correction factor for cylinder 3 1
Age of specimen 56 days