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Sample Record for 2023-05-10-11

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

Project Information

Project ID: 994625 DEA: 010M8404 EFIS: 0123000075 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-0/1.5
Work Description: Project Name: Hum 101 Slipout
Location Description:
Contractor Name: Granite Construction Company
Contractor Address: 1324 South State Street, Ukiah, CA 95482
Resident Engineer: Joaquin Rodriguez Structure Rep.: George Moore

Sample Information

DIME Sample ID: 2023-05-10-11
TL Number from the TL Form: 166355
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 05/10/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/11/2023
The quantity of what the sample constitutes: 5 cylinders
A brief description of the sample: 6X12 PCC cylinder
From where was the sample collected: Job Site
Laboratory sample identification: C0153
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Coast Drilling Company

Material Information

The concrete mix design number: Unknown
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 679282
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: from chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2023-05-10-11-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/11/2023
Date Tested: 05/11/2023
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Capped in accordance with? ASTM C1231 - Unbonded Elastomeric Pad Cap
Average diameter of cylinder 1 6.00 in
Cross sectional area of cylinder 1 28.27 in^2
Compressive strength of cylinder (to nearest 10 psi) 330 psi
Maximum load on cylinder 1 9197 lb
Type of fracture pattern of cylinder 1 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 1 days
Age of specimen in hours no data

Test 2 of 3

DIME Test ID: 2023-05-10-11-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/24/2023
Date Tested: 05/24/2023
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
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? ASTM C1231 - Unbonded Elastomeric Pad Cap
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 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) 6270 psi
Maximum load on cylinder 1 172760 lb
Maximum load on cylinder 2 181810 lb
Compressive strength of cylinder 1 6111.1 psi
Type of fracture pattern of cylinder 1 5
Compressive strength of cylinder 2 6431.2 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
Correction factor for cylinder 2 1
Age of specimen 14 days
Age of specimen in hours 0 hours

Test 3 of 3

DIME Test ID: 2023-05-10-11-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/07/2023
Date Tested: 06/07/2023
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: 28 Day Break
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? ASTM C1231 - Unbonded Elastomeric Pad Cap
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 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) 6860 psi
Maximum load on cylinder 1 191640 lb
Maximum load on cylinder 2 196190 lb
Type of fracture pattern of cylinder 1 5
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
Correction factor for cylinder 2 1
Age of specimen 28 days
Age of specimen in hours 0 hours