Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993544 DEA: 07324904 EFIS: 0716000079
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-20.1/36.0
Work Description: UPGRADE AND REPAIR THREE EXISTING PUMP PLANTS.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM HUMBOLDT STREET UNDERPASS TO SHELDON STREET OVERCROSSING
Contractor Name: Stacy and Witbeck, INC
Contractor Address: 2800 Harbor Bay Parkway, Alameda, CA, 94502
Resident Engineer: Sam Toutounchian Structure Rep.: Kwangsuk Suh
DIME Sample ID: 2024-01-10-45
TL Number from the TL Form:
Sample Submitted By Organization: Thompson Pipe Group - Los Angeles
Sample Organization Contact: (909) 201-5127
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 01/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 01/12/2024
The quantity of what the sample constitutes: 6 6x12 concrete cylinders
A brief description of the sample: Concrete Test Samples
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Reinforced Box Culvert
The fabricator/manufacturer/facility name: Thompson pipe group
The concrete mix design number: 127612
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: batch
Concrete batch plant: Thompson Pipe Group
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: conveyor belt
Where the material sample would have been placed if not sampled: building
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-01-10-45-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/22/2024
Date Tested: 01/17/2024
Submitted By Organization: Thompson Pipe Group - Los Angeles
Organization Address: 3011 North Laurel Avenue,
Organization City: Rialto
Organization State: CA
Organization Zipcode: 92377
Organization Email: sperry@thompsonpipegroup.com
Organization Phone: (909) 201-5127
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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1
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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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29 lb
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Average diameter of cylinder 1
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6.12 in
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Compressive strength of cylinder (to nearest 10 psi)
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0 psi
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Maximum load on cylinder 1
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172500 lb
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Type of fracture pattern of cylinder 1
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3
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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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Age of specimen
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7 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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