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Sample Record for 2016-04-28-10

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

Project Information

Project ID: 209732 DEA: 072881U4 EFIS: 0714000085 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210-R16.1/R25.8
Work Description: CONSTRUCT CONCRETE PAVEMENT, PRECAST CONCRETE PANELS, AND SLABS.
Location Description: LOS ANGELES COUNTY IN LA CANADA FLINTRIDGE, GLENDALE AND PASADENA FROM DUNSMORE AVENUE UNDERCROSSING TO NORTH LOS ROBLES AVENUE OVERCROSSING
Contractor Name: FLATIRON WEST, INC.
Contractor Address: 1770 LA COSTA MEADOWS DRIVE, SAN MARCOS, CA 92078
Resident Engineer: Sushil Chaudhari Structure Rep.: Mark Amorsolo

Sample Information

DIME Sample ID: 2016-04-28-10
TL Number from the TL Form: 42802
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: 04/28/2016
Date that the sample was received by the laboratory/organization performing the testing: 05/04/2016
The quantity of what the sample constitutes: 6
A brief description of the sample: 6X12
From where was the sample collected: Job Site
Laboratory sample identification: 927-02
Structure unique identifier: 210 FWY DUNSMORE TO LOS ROBLES
Structure name: APP SLABS WB HAMPTON
The fabricator/manufacturer/facility name: NATIONAL READY MIX

Material Information

The concrete mix design number: S72036
The truck number from where the sample was collected: 438
The batch plant ticket number from where the sample was collected: 195411
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: WHEEL BARROW
Where the material sample would have been placed if not sampled: Unknown
From Lot No.: Unknown
Bag Lot No.: Unknown
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2016-04-28-10-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/05/2016
Date Tested: 05/05/2016
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: (909) 829-3029
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 5.98 in
Average diameter of cylinder 2 5.98 in
Cross sectional area of cylinder 1 28.09 in^2
Cross sectional area of cylinder 2 28.09 in^2
Compressive strength (to nearest 10 psi) 3010 psi
Maximum load on cylinder 1 86200 lb
Maximum load on cylinder 2 82900 lb
Compressive strength of cylinder 1 3068.7 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 2951.2 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 7 days
Age of specimen in hours no data

Test 2 of 3

DIME Test ID: 2016-04-28-10-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/12/2016
Date Tested: 05/12/2016
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: (909) 829-3029
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 5.98 in
Average diameter of cylinder 2 5.98 in
Cross sectional area of cylinder 1 28.09 in^2
Cross sectional area of cylinder 2 28.09 in^2
Compressive strength (to nearest 10 psi) 3990 psi
Maximum load on cylinder 1 110730 lb
Maximum load on cylinder 2 113690 lb
Compressive strength of cylinder 1 3942.0 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 4047.3 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 14 days
Age of specimen in hours no data

Test 3 of 3

DIME Test ID: 2016-04-28-10-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/26/2016
Date Tested: 05/26/2016
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: (909) 829-3029
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 5.98 in
Average diameter of cylinder 2 5.98 in
Cross sectional area of cylinder 1 28.09 in^2
Cross sectional area of cylinder 2 28.09 in^2
Compressive strength (to nearest 10 psi) 4870 psi
Maximum load on cylinder 1 141020 lb
Maximum load on cylinder 2 132360 lb
Compressive strength of cylinder 1 5020.3 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 4712.0 psi
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 no data
Age of specimen 28 days
Age of specimen in hours no data