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Sample Record for 2023-08-14-83

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

Project Information

Project ID: 994497 DEA: 120T5404 EFIS: 1222000062 MINOR: 12A2038 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-22,57-L9.7/11
Work Description: REPLACE EXISTING SIGN STRUCTURE, INSTALL CHEVRON SIGNS, REFRESH STRIPING
Location Description: ORANGE COUNTY ON 22 AND 57
Contractor Name: SABU, LLC
Contractor Address: 52 Stargazer Way, Mission Viejo, CA 92692
Resident Engineer: Mona Shahidi Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-08-14-83
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: 08/14/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/15/2023
The quantity of what the sample constitutes: 4
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 23-0250
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons - Anaheim

Material Information

The concrete mix design number: SC590B33
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 7885768
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:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2023-08-14-83-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/19/2023
Date Tested: 08/28/2023
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 5.98 in
Average diameter of cylinder 2 6.00 in
Cross sectional area of cylinder 1 28.08 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 4240 psi
Maximum load on cylinder 1 120000 lb
Maximum load on cylinder 2 118700 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
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 1
Age of specimen 14 days
Age of specimen in hours 0 hours

Test 2 of 2

DIME Test ID: 2023-08-14-83-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/19/2023
Date Tested: 09/11/2023
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 5.98 in
Average diameter of cylinder 2 5.99 in
Cross sectional area of cylinder 1 28.08 in^2
Cross sectional area of cylinder 2 28.17 in^2
Compressive strength (to nearest 10 psi) 4850 psi
Maximum load on cylinder 1 135050 lb
Maximum load on cylinder 2 137400 lb
Type of fracture pattern of cylinder 1 1
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 1
Age of specimen 28 days
Age of specimen in hours 0 hours