Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994146 DEA: 120R1904 EFIS: 1218000064
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-91-5.4/5.8
Work Description: FURNISH AND INSTALL SIGN STRUCTURE AND REPLACE SIGN PANELS.
Location Description: ORANGE COUNTY IN ANAHEIM ON WESTBOUND ROUTE 91 FROM 0.4 MILE WEST OF ROUTE 57/91 SEPARATION TO 0.1 MILE WEST OF PLACENTIA AVENUE OVERCROSSING
Contractor Name: FERREIRA CONSTRUCTION CO INC DBA FERREIRA COASTAL CONSTRUCTION CO.
Contractor Address: 10370 COMMERCE CENTER DR B200, RANCHO CUCAMONGA, CA 91730
Resident Engineer: Artin Merati Structure Rep.: Unknown
DIME Sample ID: 2023-09-27-85
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: 09/27/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/29/2023
The quantity of what the sample constitutes: 3
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 23-0291
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertson's - Anaheim
The concrete mix design number: SC590B38
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 1
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: RTE 91 PM 5 RT CIDH
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-09-27-85-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/01/2023
Date Tested: 10/04/2023
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
|
2
|
|
Test performed
|
With no density determined
|
|
Capped in accordance with?
|
ASTM C617 - Sulfur Mortar Cap
|
|
Average diameter of cylinder 1
|
5.99 in
|
|
Average diameter of cylinder 2
|
5.98 in
|
|
Cross sectional area of cylinder 1
|
28.17 in^2
|
|
Cross sectional area of cylinder 2
|
27.99 in^2
|
|
Compressive strength (to nearest 10 psi)
|
2220 psi
|
|
Maximum load on cylinder 1
|
60650 lb
|
|
Maximum load on cylinder 2
|
64050 lb
|
|
Type of fracture pattern of cylinder 1
|
3
|
|
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
|
1
|
|
Age of specimen
|
7 days
|
|
Age of specimen in hours
|
0 hours
|
DIME Test ID: 2023-09-27-85-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/01/2023
Date Tested: 10/11/2023
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:
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
|
5.97 in
|
|
Cross sectional area of cylinder 1
|
28.08 in^2
|
|
Cross sectional area of cylinder 2
|
27.99 in^2
|
|
Compressive strength (to nearest 10 psi)
|
2560 psi
|
|
Maximum load on cylinder 1
|
71610 lb
|
|
Maximum load on cylinder 2
|
71630 lb
|
|
Type of fracture pattern of cylinder 1
|
3
|
|
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
|
1
|
|
Age of specimen
|
14 days
|
|
Age of specimen in hours
|
0 hours
|
DIME Test ID: 2023-09-27-85-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/07/2023
Date Tested: 10/25/2023
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
|
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
|
5.98 in
|
|
Cross sectional area of cylinder 1
|
28.08 in^2
|
|
Cross sectional area of cylinder 2
|
28.08 in^2
|
|
Compressive strength (to nearest 10 psi)
|
3900 psi
|
|
Maximum load on cylinder 1
|
108690 lb
|
|
Maximum load on cylinder 2
|
110280 lb
|
|
Type of fracture pattern of cylinder 1
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2
|
|
Type of fracture pattern of cylinder 2
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2
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|
Comment on any defect in either specimen or caps (Max 250 Characters)
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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
|
DIME Test ID: 2023-09-27-85-4
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/09/2023
Date Tested: 11/08/2023
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)
|
4100 psi
|
|
Maximum load on cylinder 1
|
120410 lb
|
|
Maximum load on cylinder 2
|
110130 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
|
42 days
|
|
Age of specimen in hours
|
0 hours
|
