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Sample Record for 2016-08-11-3

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

Project Information

Project ID: 210888 DEA: 072750U4 EFIS: 0715000283 QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-33,101-0.9/T5.82.3/13.8
Work Description: CONSTRUCT STORM WATER TREATMENT BMP.
Location Description: CONSTRUCT STORM WATER TREATMENT BMP.
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 Cushing Suite 200, Irvine, CA 92618
Resident Engineer: Alan Davis Structure Rep.: Pantaleon Rivera

Sample Information

DIME Sample ID: 2016-08-11-3
TL Number from the TL Form: 23
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 08/11/2016
Date that the sample was received by the laboratory/organization performing the testing: 08/16/2016
The quantity of what the sample constitutes: 6
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 939-SRL23
Structure unique identifier: Unknown
Structure name: Unknown
The fabricator/manufacturer/facility name: GRIMES CANYON

Material Information

The concrete mix design number: S72500
The truck number from where the sample was collected: NP
The batch plant ticket number from where the sample was collected: NP
Concrete batch plant: NP
The fabricator/manufacturer designation for the sample: NP
A detailed description of where the material sample was collected: NP
Where the material sample would have been placed if not sampled: TORN RIVERA POC
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Results

Test 1 of 3

DIME Test ID: 2016-08-11-3-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 08/16/2016
Date Tested: 08/16/2016
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
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/CTM521
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 3050 psi
Maximum load on cylinder 1 87990 lb
Maximum load on cylinder 2 84640 lb
Compressive strength of cylinder 1 3112.5 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 2994.0 psi
Type of fracture pattern of cylinder 2 1
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 no data
Age of specimen 5 days
Age of specimen in hours no data

Test 2 of 3

DIME Test ID: 2016-08-11-3-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 08/18/2016
Date Tested: 08/18/2016
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
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/CTM521
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.01 in
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.37 in^2
Compressive strength (to nearest 10 psi) 3270 psi
Maximum load on cylinder 1 90970 lb
Maximum load on cylinder 2 93980 lb
Compressive strength of cylinder 1 3217.9 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 3312.7 psi
Type of fracture pattern of cylinder 2 1
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 no data
Age of specimen 7 days
Age of specimen in hours no data

Test 3 of 3

DIME Test ID: 2016-08-11-3-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 09/08/2016
Date Tested: 09/08/2016
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
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/CTM521
Average diameter of cylinder 1 6.01 in
Average diameter of cylinder 2 6.01 in
Cross sectional area of cylinder 1 28.37 in^2
Cross sectional area of cylinder 2 28.37 in^2
Compressive strength (to nearest 10 psi) 4790 psi
Maximum load on cylinder 1 134480 lb
Maximum load on cylinder 2 137200 lb
Compressive strength of cylinder 1 4740.2 psi
Type of fracture pattern of cylinder 1 4
Compressive strength of cylinder 2 4836.1 psi
Type of fracture pattern of cylinder 2 1
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 no data
Age of specimen 28 days
Age of specimen in hours no data