Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214830 DEA: 043G6304 EFIS: 0412000409
QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL-4-SCl-9 -4.75/4.9
Work Description: Saratoga Creek Bridge Rehabilitation Project
Location Description: San Jose - Saratoga Creek
Contractor Name: Myers and Sons
Contractor Address: 4600 NORTHGATE BLVD, STE 100, SACRAMENTO, CA 95834
Resident Engineer: Arif Khan Structure Rep.: OANH BUI
DIME Sample ID: 2023-09-14-20
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: 09/14/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/14/2023
The quantity of what the sample constitutes: 1 cubic ft. of Concrete for Testing
A brief description of the sample: 1 cubic ft. of Concrete taken from middle of batching
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ConFab Lathrop
The concrete mix design number: VER-98LV
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 9479
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Bed Echo, Truck 1
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-09-14-20-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 09/15/2023
Date Tested: 09/15/2023
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
|
Capped in accordance with?
|
no data
|
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)
|
7070 psi
|
Maximum load on cylinder 1
|
85360 lb
|
Maximum load on cylinder 2
|
90155 lb
|
Maximum load on cylinder 3
|
90755 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
|
DIME Test ID: 2023-09-14-20-2
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 09/15/2023
Date Tested: 09/14/2023
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:
DIME Test ID: 2023-09-14-20-3
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 09/15/2023
Date Tested: 09/15/2023
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: