Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994326 DEA: 051C3604 EFIS: 0512000134
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-217-0.9/1.4
Work Description: REPLACE BRIDGE.
Location Description: SANTA BARBARA COUNTY NEAR GOLETA FROM 0.2 MILE EAST OF GOLETA SLOUGH BRIDGE TO 0.4 MILE EAST OF SAN JOSE CREEK BRIDGE
Contractor Name: MCM CONSTRUCTION
Contractor Address: 6413 32nd Street, North Highlands, Ca 95660
Resident Engineer: Manny Yogarajah Structure Rep.: Alis Chhay
DIME Sample ID: 2023-10-26-35
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Vallejo Field Laboratory
Sample Organization Contact: (510) 774-6009
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/26/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/27/2023
The quantity of what the sample constitutes: 3 cylinders
A brief description of the sample: 4x12 cylinders
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kie-Con, Antioch
The concrete mix design number: K5070-4212
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 119951
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: at Kie-Con
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-10-26-35-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/22/2023
Date Tested: 11/22/2023
Submitted By Organization: CT HQ - QASI Bay Area Field Office
Organization Address: 690 Walnut Avenue, Suite 150,
Organization City: Vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: maged.g.armanuse@dot.ca.gov
Organization Phone: (916) 284-6784
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Unit system used?
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US Units
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Number of specimens
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3
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Test performed
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With no density determined
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Apparent mass of submerged cylinder 1
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8.8475 lb
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Average diameter of cylinder 1
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4.01 in
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Average diameter of cylinder 2
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4.01 in
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Average diameter of cylinder 3
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4.01 in
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Cross sectional area of cylinder 1
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12.62 in^2
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Cross sectional area of cylinder 2
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12.62 in^2
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Cross sectional area of cylinder 3
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12.62 in^2
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Compressive strength (to nearest 10 psi)
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7060 psi
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Maximum load on cylinder 1
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89160 lb
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Maximum load on cylinder 2
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89551 lb
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Maximum load on cylinder 3
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88605 lb
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Type of fracture pattern of cylinder 1
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6
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Type of fracture pattern of cylinder 2
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6
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Type of fracture pattern of cylinder 3
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6
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Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
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Correction factor for cylinder 1
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1.00
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Correction factor for cylinder 2
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1.00
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Correction factor for cylinder 3
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1.00
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Age of specimen
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28 days
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Age of specimen in hours
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0 hours
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Serial number of delivery ticket, if available
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no data
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