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Sample Record for 2024-04-05-12

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

Project Information

Project ID: 993715 DEA: 010G1404 EFIS: 0116000129 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-96,169-VAR
Work Description: HUM 96-169 5 Bridges Rail Upgrade (Do not include in project name: STRUCTURAL STEEL, CONCRETE BARRIER, POLYESTER CONCRETE OVERLAY)
Location Description: HUMBOLDT COUNTY ON ROUTES 96 AND 169 AT VARIOUS LOCATIONS (Bridge Nos. 04-0215, 04-0059, 04-0063, 04-0225, 04-0061)
Contractor Name: Steelhead Constructors JV
Contractor Address: P.O. Box 536, Palo Cedro, CA 96073
Resident Engineer: Efren Banuelos Structure Rep.: Laura Cangas

Sample Information

DIME Sample ID: 2024-04-05-12
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: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 04/05/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/06/2024
The quantity of what the sample constitutes: 17 CY
A brief description of the sample: Type II/V Cement
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 12-04-0225
Structure name: Bluff Creek Bridge
The fabricator/manufacturer/facility name: Mercer Fraser Company, Willow Creek Plant

Material Information

The concrete mix design number: MFCL1-45SLAGWC+SRA
The truck number from where the sample was collected: 695
The batch plant ticket number from where the sample was collected: 3087
Concrete batch plant: Willow Creek Mercer Fraser Plant
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: Approach Slab RT
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2024-04-05-12-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/03/2024
Date Tested: 05/03/2024
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: 28 Day Break 5/3/24
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) 6320 psi
Maximum load on cylinder 1 75390 lb
Maximum load on cylinder 2 80930 lb
Maximum load on cylinder 3 81990 lb
Type of fracture pattern of cylinder 1 5
Type of fracture pattern of cylinder 2 5
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
Correction factor for cylinder 2 1
Correction factor for cylinder 3 1
Age of specimen 28 days
Age of specimen in hours no data

Test 2 of 3

DIME Test ID: 2024-04-05-12-2
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 04/05/2024
Date Tested: 04/05/2024
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:
Test Result Compliance: complies
Additional Comments When Verified:
Slump 4 inch

Test 3 of 3

DIME Test ID: 2024-04-05-12-3
Test Method: CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement Concrete
Verified Date: 04/05/2024
Date Tested: 04/05/2024
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: Ambient T = 56
Test Result Compliance: complies
Additional Comments When Verified:
Temperature of the freshly mixed concrete 65 F