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Sample Record for 2016-05-10-8

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: 2016-05-10-8
TL Number from the TL Form: 123456A23
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 05/10/2016
Date that the sample was received by the laboratory/organization performing the testing: 05/10/2016
The quantity of what the sample constitutes: 6
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 927-A23
Structure unique identifier: Unknown
Structure name: Unknown
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: 439
The batch plant ticket number from where the sample was collected: 96002
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: PLANT
A detailed description of where the material sample was collected: WHEEL BARROW
Where the material sample would have been placed if not sampled: APPROACH SLABS EB
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Results

Test 1 of 3

DIME Test ID: 2016-05-10-8-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/17/2016
Date Tested: 05/17/2016
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: 9098293029
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 5.97 in
Average diameter of cylinder 2 5.97 in
Cross sectional area of cylinder 1 27.99 in^2
Cross sectional area of cylinder 2 27.99 in^2
Compressive strength (to nearest 10 psi) 3090 psi
Maximum load on cylinder 1 88410 lb
Maximum load on cylinder 2 84820 lb
Compressive strength of cylinder 1 3158.6 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 3030.4 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: 2016-05-10-8-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 05/24/2016
Date Tested: 05/24/2016
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: 9098293029
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 5.97 in
Average diameter of cylinder 2 5.97 in
Cross sectional area of cylinder 1 27.99 in^2
Cross sectional area of cylinder 2 27.99 in^2
Compressive strength (to nearest 10 psi) 3880 psi
Maximum load on cylinder 1 110530 lb
Maximum load on cylinder 2 106500 lb
Compressive strength of cylinder 1 3948.9 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 3804.9 psi
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 no data
Age of specimen 14 days
Age of specimen in hours no data

Test 3 of 3

DIME Test ID: 2016-05-10-8-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 06/13/2016
Date Tested: 06/07/2016
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: 9098293029
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 5.97 in
Average diameter of cylinder 2 5.97 in
Cross sectional area of cylinder 1 27.99 in^2
Cross sectional area of cylinder 2 27.99 in^2
Compressive strength (to nearest 10 psi) 4850 psi
Maximum load on cylinder 1 134410 lb
Maximum load on cylinder 2 136870 lb
Compressive strength of cylinder 1 4802.1 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 4890.0 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 28 days
Age of specimen in hours no data