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Sample Record for 2015-12-15-2

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

Project Information

Project ID: 209139 DEA: 071170U4 EFIS: 0700000085 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-33.2/37.2
Work Description: CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location Description: LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
Contractor Name: Ames Construction, inc.
Contractor Address: 391 N Main Street, Suite 302, Corona, Ca 92880
Resident Engineer: Raj Punjabi Structure Rep.: Cardiel Bugarin

Sample Information

DIME Sample ID: 2015-12-15-2
TL Number from the TL Form: 101065940
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 12/15/2015
Date that the sample was received by the laboratory/organization performing the testing: 12/17/2015
The quantity of what the sample constitutes: 4
A brief description of the sample: 6x12
From where was the sample collected: Job Site
Laboratory sample identification: 882-40
Structure unique identifier: RT 10 WEST COVINA
Structure name: LARK ELLEN AVE UC RIGHT DECK POUR
The fabricator/manufacturer/facility name: HOLLIDAY

Material Information

The concrete mix design number: CM5856
The truck number from where the sample was collected: 316
The batch plant ticket number from where the sample was collected: 101065940
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: TRUCK
Where the material sample would have been placed if not sampled: Unknown
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2015-12-15-2-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/28/2015
Date Tested: 12/28/2015
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 2
Test performed With no density determined
Capped in accordance with? ASTM C617/CTM521
Average diameter of cylinder 1 5.99 in
Average diameter of cylinder 2 5.99 in
Cross sectional area of cylinder 1 28.18 in^2
Cross sectional area of cylinder 2 28.18 in^2
Compressive strength (to nearest 10 psi) 5350 psi
Maximum load on cylinder 1 150030 lb
Maximum load on cylinder 2 151510 lb
Compressive strength of cylinder 1 5324.0 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 5376.5 psi
Type of fracture pattern of cylinder 2 3
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 no data
Age of specimen 13 days
Age of specimen in hours no data

Test 2 of 2

DIME Test ID: 2015-12-15-2-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/26/2016
Date Tested: 01/26/2016
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 2
Test performed With no density determined
Capped in accordance with? ASTM C617/CTM521
Average diameter of cylinder 1 5.99 in
Average diameter of cylinder 2 5.99 in
Cross sectional area of cylinder 1 28.18 in^2
Cross sectional area of cylinder 2 28.18 in^2
Compressive strength (to nearest 10 psi) 6220 psi
Maximum load on cylinder 1 175180 lb
Maximum load on cylinder 2 175100 lb
Compressive strength of cylinder 1 6216.5 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 6213.6 psi
Type of fracture pattern of cylinder 2 1
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 no data
Age of specimen 42 days
Age of specimen in hours no data