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Sample Record for 2023-10-03-51

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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: 2023-10-03-51
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: 10/03/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/04/2023
The quantity of what the sample constitutes: 3
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 23-0294
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: 8094852
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: 57 North 22 West Connector Beginning Of 22 West On Lavita Ave Exit
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2023-10-03-51-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 10/10/2023
Date Tested: 10/10/2023
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:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 4.01 in
Average diameter of cylinder 2 4.01 in
Average diameter of cylinder 3 4.04 in
Cross sectional area of cylinder 1 12.69 in^2
Cross sectional area of cylinder 2 12.69 in^2
Cross sectional area of cylinder 3 12.69 in^2
Compressive strength (to nearest 10 psi) 2940 psi
Maximum load on cylinder 1 37120 lb
Maximum load on cylinder 2 37900 lb
Maximum load on cylinder 3 36320 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 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
Correction factor for cylinder 3 1
Age of specimen 7 days
Age of specimen in hours 0 hours

Test 2 of 3

DIME Test ID: 2023-10-03-51-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/01/2023
Date Tested: 10/17/2023
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:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 4.01 in
Average diameter of cylinder 2 4.01 in
Average diameter of cylinder 3 4.01 in
Cross sectional area of cylinder 1 12.62 in^2
Cross sectional area of cylinder 2 12.62 in^2
Cross sectional area of cylinder 3 12.62 in^2
Compressive strength (to nearest 10 psi) 2940 psi
Maximum load on cylinder 1 37120 lb
Maximum load on cylinder 2 37900 lb
Maximum load on cylinder 3 36320 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 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
Correction factor for cylinder 3 1
Age of specimen 14 days
Age of specimen in hours 0 hours

Test 3 of 3

DIME Test ID: 2023-10-03-51-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/01/2023
Date Tested: 10/31/2023
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 3
Test performed With no density determined
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Average diameter of cylinder 1 4.02 in
Average diameter of cylinder 2 4.00 in
Average diameter of cylinder 3 4.01 in
Cross sectional area of cylinder 1 12.69 in^2
Cross sectional area of cylinder 2 12.56 in^2
Cross sectional area of cylinder 3 12.62 in^2
Compressive strength (to nearest 10 psi) 4370 psi
Maximum load on cylinder 1 54320 lb
Maximum load on cylinder 2 55210 lb
Maximum load on cylinder 3 56090 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 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
Correction factor for cylinder 3 1
Age of specimen 28 days
Age of specimen in hours 0 hours