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Sample Record for 2023-10-20-35

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

Project Information

Project ID: 993333 DEA: 04264724 EFIS: 0419000068 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-R20.8/27.1
Work Description: CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location Description: MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
Contractor Name: GHILOTTI CONSTRUCTION CO. INC. (RILEY GENAZZI & JOSH SERAFINO)
Contractor Address: 246 GHILOTTI AVE., SANTA ROSA, CA 95407
Resident Engineer: Fabio La Serna Structure Rep.: Jeremy Light

Sample Information

DIME Sample ID: 2023-10-20-35
TL Number from the TL Form:
Sample Submitted By Organization: Pavement Engineers
Sample Organization Contact: (530) 913-3751
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 10/20/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/19/2023
The quantity of what the sample constitutes: 27 CY
A brief description of the sample: aggregate
From where was the sample collected: Supplier
Laboratory sample identification: S-734 - S-739
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shamrock Materials Petaluma

Material Information

The concrete mix design number: SL-4201CG
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 463763
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: back of truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2023-10-20-35-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: Pavement Engineers
Organization Address: 3650 Industrial Boulevard,
Organization City: West Sacramento
Organization State: CA
Organization Zipcode: 95691
Organization Email: michelleh@pavementengineering.com
Organization Phone: (530) 913-3751
This test has been superseded on 11/01/2023. The corrected test ID is: 2023-10-20-35-2
Reason: corrected

Test 2 of 3

DIME Test ID: 2023-10-20-35-2
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/10/2024
Date Tested: 10/27/2023
Submitted By Organization: Pavement Engineers
Organization Address: 3650 Industrial Boulevard,
Organization City: West Sacramento
Organization State: CA
Organization Zipcode: 95691
Organization Email: michelleh@pavementengineering.com
Organization Phone: (530) 913-3751
General Comments for this Test:
The test was superseded from test ID: 2023-10-20-35-1
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Apparent mass of submerged cylinder 1 0 lb
Average diameter of cylinder 1 3.98 in
Average diameter of cylinder 2 3.98 in
Cross sectional area of cylinder 1 12.44 in^2
Cross sectional area of cylinder 2 12.44 in^2
Compressive strength (to nearest 10 psi) 3990 psi
Maximum load on cylinder 1 50380 lb
Maximum load on cylinder 2 48800 lb
Type of fracture pattern of cylinder 1 3
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 1.00
Correction factor for cylinder 2 1.00
Age of specimen 7 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available 464646

Test 3 of 3

DIME Test ID: 2023-10-20-35-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/10/2024
Date Tested: 11/17/2023
Submitted By Organization: Pavement Engineers
Organization Address: 3650 Industrial Boulevard,
Organization City: West Sacramento
Organization State: CA
Organization Zipcode: 95691
Organization Email: michelleh@pavementengineering.com
Organization Phone: (530) 913-3751
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
Apparent mass of submerged cylinder 1 0 lb
Average diameter of cylinder 1 3.98 in
Average diameter of cylinder 2 3.98 in
Average diameter of cylinder 3 3.98 in
Cross sectional area of cylinder 1 12.44 in^2
Cross sectional area of cylinder 2 12.44 in^2
Cross sectional area of cylinder 3 12.44 in^2
Compressive strength (to nearest 10 psi) 6330 psi
Maximum load on cylinder 1 79810 lb
Maximum load on cylinder 2 80325 lb
Maximum load on cylinder 3 76265 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 4
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1.00
Correction factor for cylinder 2 1.00
Correction factor for cylinder 3 1.00
Age of specimen 28 days
Age of specimen in hours 0 hours
Serial number of delivery ticket, if available 464646