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Sample Record for 2016-10-04-9

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

Project Information

Project ID: 211529 DEA: 11427404 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-94-50.64, 50.64
Work Description: Replace Campo Creek bridge # 57-0120
Location Description:
Contractor Name: FLATIRON WEST, INC.
Contractor Address: 1770 LA COSTA MEADOWS DRIVE, SAN MARCOS, CA 92078
Resident Engineer: Brandon Farmer Structure Rep.: Nikki Tiongco

Sample Information

DIME Sample ID: 2016-10-04-9
TL Number from the TL Form: L79-7466-006
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: 10/04/2016
Date that the sample was received by the laboratory/organization performing the testing: 10/05/2016
The quantity of what the sample constitutes: 2
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 948-006
Structure unique identifier: CAMPO CREEK BRIDGE
Structure name: CAMPO CREEK BRIDGE
The fabricator/manufacturer/facility name: OLDCAST PRECAST PERRIS

Material Information

The concrete mix design number: UV-300
The truck number from where the sample was collected: 5
The batch plant ticket number from where the sample was collected: 53847
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: OLDCASTLE PRECAST CASTING BED A4
A detailed description of where the material sample was collected: TUCKER TRANSPORTER DISCHARGE
Where the material sample would have been placed if not sampled: OLDCASTLE PRECAST CASTING BED A4
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Results

Test 1 of 2

DIME Test ID: 2016-10-04-9-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/13/2016
Date Tested: 10/11/2016
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 6.03 in
Average diameter of cylinder 2 6.03 in
Cross sectional area of cylinder 1 28.56 in^2
Cross sectional area of cylinder 2 28.56 in^2
Compressive strength (to nearest 10 psi) 8160 psi
Maximum load on cylinder 1 234650 lb
Maximum load on cylinder 2 231470 lb
Compressive strength of cylinder 1 8216.0 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 8104.7 psi
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
Correction factor for cylinder 2 no data
Age of specimen 7 days
Age of specimen in hours no data

Test 2 of 2

DIME Test ID: 2016-10-04-9-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/20/2016
Date Tested: 10/11/2016
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 6.03 in
Average diameter of cylinder 2 6.03 in
Cross sectional area of cylinder 1 28.56 in^2
Cross sectional area of cylinder 2 28.56 in^2
Compressive strength (to nearest 10 psi) 8160 psi
Maximum load on cylinder 1 234650 lb
Maximum load on cylinder 2 231470 lb
Compressive strength of cylinder 1 8216.0 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 8104.7 psi
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
Correction factor for cylinder 2 no data
Age of specimen 7 days
Age of specimen in hours no data