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Sample Record for 2023-05-09-5

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

Project Information

Project ID: 993279 DEA: 010E0904 EFIS: 0113000123 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-20-33.3/34.4
Work Description: CONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310)
Location Description: MENDOCINO COUNTY NEAR UKIAH FROM 0.3 MILE WEST OF RUSSIAN RIVER BRIDGE AND OVERHEAD TO 0.3 MILE EAST OF COUNTY ROAD 144
Contractor Name: Myers & Sons Construction LLC
Contractor Address: 4600 Northgate Blvd, Suite 100, Sacramento, CA 95838
Resident Engineer: Geoffrey Wright Structure Rep.: Kari Forbes

Sample Information

DIME Sample ID: 2023-05-09-5
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3667 - Redwood Valley/Fort Bragg
Sample Organization Contact: (707) 498-1012
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 05/09/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/05/2023
The quantity of what the sample constitutes: 300 cy
A brief description of the sample: 3x 4x8 cylinders
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 10-0310
Structure name: Russian River BOH
The fabricator/manufacturer/facility name: Nor-Cal

Material Information

The concrete mix design number: 718034A
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 43948
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-05-09-5-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: CT SC - 3667 - Redwood Valley/Fort Bragg
Organization Address: 925 North Franklin Street,
Organization City: Fort Bragg
Organization State: CA
Organization Zipcode: 95437
Organization Email:
Organization Phone: (707) 498-1012
This test has been superseded on 06/08/2023. The corrected test ID is: 2023-05-09-5-2
Reason: corrected

Test 2 of 2

DIME Test ID: 2023-05-09-5-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/08/2023
Date Tested: 06/01/2023
Submitted By Organization: CT SC - 3667 - Redwood Valley/Fort Bragg
Organization Address: 925 North Franklin Street,
Organization City: Fort Bragg
Organization State: CA
Organization Zipcode: 95437
Organization Email: kari.forbes@dot.ca.gov
Organization Phone: (707) 498-1012
General Comments for this Test:
The test was superseded from test ID: 2023-05-09-5-1
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Capped in accordance with? no data
Apparent mass of submerged cylinder 1 12 lb
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
Average diameter of cylinder 3 4.00 in
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
Compressive strength (to nearest 10 psi) 7020 psi
Maximum load on cylinder 1 87835 lb
Maximum load on cylinder 2 89295 lb
Maximum load on cylinder 3 87705 lb
Type of fracture pattern of cylinder 1 1
Type of fracture pattern of cylinder 2 1
Type of fracture pattern of cylinder 3 1
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
Correction factor for cylinder 3 1.00
Age of specimen 28 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available no data