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Sample Record for 2023-05-22-48

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

Project Information

Project ID: 994090 DEA: 01434804 EFIS: 0100000672 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-1-62.0/62.3
Work Description: Pudding Creek Bridge Widening
Location Description: MENDOCINO COUNTY IN FORT BRAGG FROM ELM STREET TO PUDDING CREEK ROAD 421
Contractor Name: MCM Construction, Inc.
Contractor Address: P.O. Box 620, North Highland, CA 95660
Resident Engineer: Roozbeh Hadipour Structure Rep.: David Rivas

Sample Information

DIME Sample ID: 2023-05-22-48
TL Number from the TL Form:
Sample Submitted By Organization: Con-Fab California Corporation - Lathrop
Sample Organization Contact: (209) 249-4700
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 05/22/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/23/2023
The quantity of what the sample constitutes: 1cubic ft. of Concrete for Testing
A brief description of the sample: 1cubic ft. of Concrete for Testing
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Con-Fab California, LLC

Material Information

The concrete mix design number: VER-85LV
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 8578
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Bed 2, 5th Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2023-05-22-48-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/26/2023
Date Tested: 05/23/2023
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
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
Apparent mass of submerged cylinder 1 8.86 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 12.56 in^2
Cross sectional area of cylinder 2 12.56 in^2
Cross sectional area of cylinder 3 12.56 in^2
Compressive strength (to nearest 10 psi) 5650 psi
Maximum load on cylinder 1 70450 lb
Maximum load on cylinder 2 70380 lb
Maximum load on cylinder 3 72105 lb
Type of fracture pattern of cylinder 1 4
Type of fracture pattern of cylinder 2 4
Type of fracture pattern of cylinder 3 4
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 1 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available no data

Test 2 of 4

DIME Test ID: 2023-05-22-48-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 05/26/2023
Date Tested: 05/22/2023
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 22.5 inch

Test 3 of 4

DIME Test ID: 2023-05-22-48-3
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 05/26/2023
Date Tested: 05/22/2023
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 75 F

Test 4 of 4

DIME Test ID: 2023-05-22-48-4
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 05/26/2023
Date Tested: 05/22/2023
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample Bed 2, 5th Truck
Volume of the measure 0.25 ft^3
Density of concrete 151.8 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content no data
Air content 1.6 %