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Sample Record for 2024-03-07-8

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

Project Information

Project ID: 994532 DEA: 010E8904 EFIS: 0115000043 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM, -101,299-88.3,0.0
Work Description: Arcata 101 Merge Improvements
Location Description: HUMBOLDT COUNTY IN ARCATA AT ROUTE 299/101 SEPARATION
Contractor Name: SHASTA SERVICES, INC. DBA TIMBERWORKS
Contractor Address: 509 S. Mt. Shasta Blvd., Mt. Shasta, CA 96067
Resident Engineer: Ryan Dunne Structure Rep.: Adlai Evans

Sample Information

DIME Sample ID: 2024-03-07-8
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Department Acceptance
Type of Material: Concrete
Sample Taken Date: 03/07/2024
Date that the sample was received by the laboratory/organization performing the testing: 03/08/2024
The quantity of what the sample constitutes: 3 4x8 concrete cylinders
A brief description of the sample: Type II/V Portland Cement
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 12-04E0047
Structure name:
The fabricator/manufacturer/facility name: Eureka Ready mix

Material Information

The concrete mix design number: E350F
The truck number from where the sample was collected: 84
The batch plant ticket number from where the sample was collected: 34635
Concrete batch plant: Arcata Eureka Ready Mix
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Chute from truck
Where the material sample would have been placed if not sampled: Barrier slab
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2024-03-07-8-1
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 03/08/2024
Date Tested: 03/07/2024
Submitted By Organization: CT D01 - Boyd Road Field Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 6.5 inch

Test 2 of 3

DIME Test ID: 2024-03-07-8-2
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 03/08/2024
Date Tested: 03/07/2024
Submitted By Organization: CT D01 - Boyd Road Field Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 72 F

Test 3 of 3

DIME Test ID: 2024-03-07-8-3
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 04/04/2024
Date Tested: 04/04/2024
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: 4/4/24 28 Day Break
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 3
Test performed With no density determined
Capped in accordance with? ASTM C1231 - Unbonded Elastomeric Pad Cap
Average diameter of cylinder 1 4.00 in
Average diameter of cylinder 2 4.00 in
Average diameter of cylinder 3 4.00 in
Cross sectional area of cylinder 1 12.57 in^2
Cross sectional area of cylinder 2 12.57 in^2
Cross sectional area of cylinder 3 12.57 in^2
Compressive strength (to nearest 10 psi) 5230 psi
Maximum load on cylinder 1 62470 lb
Maximum load on cylinder 2 68400 lb
Maximum load on cylinder 3 66480 lb
Type of fracture pattern of cylinder 1 2
Type of fracture pattern of cylinder 2 2
Type of fracture pattern of cylinder 3 5
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
Correction factor for cylinder 3 1
Age of specimen 28 days
Age of specimen in hours 0 hours