Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 208945 DEA: 07288604 EFIS: 0700021080 COOP: 074663
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-710-6.0-9.4
Work Description: Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location Description: Port of Long Beach (District 7)
Contractor Name: Shimmick/FCC/Impregilo (SFI) JV
Contractor Address: 11 Golden Shore, Suite 330, Long Beach, CA 90802
Resident Engineer: Structure Rep.:
DIME Sample ID: 2016-09-13-6
TL Number from the TL Form: 866-L3
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 09/13/2016
Date that the sample was received by the laboratory/organization performing the testing: 10/20/2016
The quantity of what the sample constitutes: 4
A brief description of the sample: Lightweight Concrete 3x6
From where was the sample collected: Job Site
Laboratory sample identification: 866-L3
Structure unique identifier: Unknown
Structure name: Unknown
The fabricator/manufacturer/facility name: SFI
The concrete mix design number: NA
The truck number from where the sample was collected: NA
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant: NA
The fabricator/manufacturer designation for the sample: NA
A detailed description of where the material sample was collected: Mixed on Site
Where the material sample would have been placed if not sampled: RW R LCC Lift 3
From Lot No.: Unknown
Bag Lot No.: Unknown
DIME Test ID: 2016-09-13-6-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/17/2016
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: TESTED BY ASTM C495
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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4
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Test performed
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With density determined by dimension measurements
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Average cylinder density (to nearest 1 pcf)
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24 lb/ft^3
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Average diameter of cylinder 1
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2.92 in
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Average diameter of cylinder 2
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2.93 in
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Average diameter of cylinder 3
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2.96 in
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Average diameter of cylinder 4
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2.94 in
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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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