Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994456 DEA: 120N72A4
QA Service Level: 1
DIST-CO-RTE-PM: 12---
Work Description:
Location Description:
Contractor Name: Chumo Construction
Contractor Address: 14425 Joanbridge St, Baldwin Park, CA 91706
Resident Engineer: Christopher Blanco Structure Rep.: Unknown
DIME Sample ID: 2023-06-15-56
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 06/15/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/15/2023
The quantity of what the sample constitutes: 6
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 23-0189
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NATIONAL / IRVINE
The concrete mix design number: S58C253T6A
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 563555
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete from wheelbarrow
Where the material sample would have been placed if not sampled: SB 73 Median Passed Jamboree Rd Bridge
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-06-15-56-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 07/18/2023
Date Tested: 07/13/2023
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
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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3
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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 C617 - Sulfur Mortar Cap
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Average diameter of cylinder 1
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4.00 in
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Average diameter of cylinder 2
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4.00 in
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Average diameter of cylinder 3
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3.99 in
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Cross sectional area of cylinder 1
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12.56 in^2
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Cross sectional area of cylinder 2
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12.56 in^2
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Cross sectional area of cylinder 3
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12.5 in^2
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Compressive strength (to nearest 10 psi)
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5220 psi
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Maximum load on cylinder 1
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66050 lb
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Maximum load on cylinder 2
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60620 lb
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Maximum load on cylinder 3
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69690 lb
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Type of fracture pattern of cylinder 1
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2
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Type of fracture pattern of cylinder 2
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2
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Type of fracture pattern of cylinder 3
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2
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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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Correction factor for cylinder 3
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1
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Age of specimen
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28 days
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Age of specimen in hours
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0 hours
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