Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994062 DEA: 010F5104 EFIS: 0116000015
QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN,HUM-101-R106.2/T106.8
Work Description: SOUTH FORK EEL RIVER BRIDGE SEISMIC
Location Description: MENDOCINO AND HUMBOLDT COUNTIES NEAR COOKS VALLEY FROM 0.4 MILE SOUTH OF SOUTH FORK EEL RIVER BRIDGE TO 0.1 MILE NORTH OF ROUTE 271
Contractor Name: J.F. SHEA CONSTRUCTION, INC.
Contractor Address: 667 BREA CANYON ROAD, SUITE 3, WALNUT CA 91789
Resident Engineer: Joaquin Rodriguez Structure Rep.: George Moore
DIME Sample ID: 2023-05-16-19
TL Number from the TL Form:
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: 05/16/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/17/2023
The quantity of what the sample constitutes: 2 - 6x12 cylinders
A brief description of the sample: PCC cylinders
From where was the sample collected: Job Site
Laboratory sample identification: C0154
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser - Fortuna
The concrete mix design number: none
The truck number from where the sample was collected: 3402
The batch plant ticket number from where the sample was collected: none
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.:
DIME Test ID: 2023-05-16-19-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/27/2023
Date Tested: 06/27/2023
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: 42 day test
Test Result Compliance:
Additional Comments When Verified:
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Unit system used?
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US Units
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Number of specimens
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2
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Test performed
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With no density determined
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Capped in accordance with?
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ASTM C1231 - Unbonded Elastomeric Pad Cap
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Average diameter of cylinder 1
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6.00 in
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Average diameter of cylinder 2
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6.00 in
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Cross sectional area of cylinder 1
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28.3 in^2
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Cross sectional area of cylinder 2
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28.3 in^2
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Compressive strength (to nearest 10 psi)
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7060 psi
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Maximum load on cylinder 1
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202410 lb
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Maximum load on cylinder 2
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196750 lb
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Type of fracture pattern of cylinder 1
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3
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Type of fracture pattern of cylinder 2
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1
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Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
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Correction factor for cylinder 1
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1
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Correction factor for cylinder 2
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1
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Age of specimen
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42 days
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Age of specimen in hours
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0 hours
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