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Sample Record for 2024-04-06-27

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

Project Information

Project ID: 994425 DEA: 040K5204 EFIS: 0416000098 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-12-11.0/T17.4
Work Description: Overlay with RHMA, replace guardrails, approach slabs and signs.
Location Description: Construction on State Highway in Sonoma County from Llano Road to Farmers Lane.
Contractor Name: FBD VANGUARD CONSTRUCTION, INC. (TOM SWISHER)
Contractor Address: 550 Greenville Road, Livermore, CA 94550
Resident Engineer: Leonard Brajnikoff Structure Rep.: Anthony Tierra

Sample Information

DIME Sample ID: 2024-04-06-27
TL Number from the TL Form: Unknown
Sample Submitted By Organization: G3 Quality, Incorporated - Cerritos
Sample Organization Contact: (562) 321-9840
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 04/06/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/07/2024
The quantity of what the sample constitutes: 4
A brief description of the sample: 6X12 Concrete Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: HE4X12BM, Set 8
Structure unique identifier: 00-0000
Structure name:
The fabricator/manufacturer/facility name: Vanguard Construction

Material Information

The concrete mix design number: HE4X12BM
The truck number from where the sample was collected: Load 37
The batch plant ticket number from where the sample was collected: 0
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Set 8
A detailed description of where the material sample was collected: Truck chute at 335 yards, Plant B Set 4
Where the material sample would have been placed if not sampled: Unknown
From Lot No.: 1
Bag Lot No.: 1

Test Results

Test 1 of 6

DIME Test ID: 2024-04-06-27-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/05/2024
Date Tested: 04/07/2024
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
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 - Sulfur Mortar Cap
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) 1230 psi
Maximum load on cylinder 1 35000 lb
Maximum load on cylinder 2 34600 lb
Type of fracture pattern of cylinder 1 3
Type of fracture pattern of cylinder 2 3
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
Age of specimen 0 days
Age of specimen in hours 11 hours

Test 2 of 6

DIME Test ID: 2024-04-06-27-2
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/05/2024
Date Tested: 05/05/2024
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
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 - Sulfur Mortar Cap
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) 4900 psi
Maximum load on cylinder 1 138780 lb
Maximum load on cylinder 2 137880 lb
Type of fracture pattern of cylinder 1 2
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 1
Age of specimen 28 days
Age of specimen in hours 0 hours

Test 3 of 6

DIME Test ID: 2024-04-06-27-3
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 06/05/2024
Date Tested: 04/06/2024
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 64 F

Test 4 of 6

DIME Test ID: 2024-04-06-27-4
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 06/05/2024
Date Tested: 04/06/2024
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit weight of the concrete 152.5 lb/ft^3
Cement content 0 lb/yd^3

Test 5 of 6

DIME Test ID: 2024-04-06-27-5
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 06/05/2024
Date Tested: 04/06/2024
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air Content 1.5 %

Test 6 of 6

DIME Test ID: 2024-04-06-27-6
Test Method: CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete
Verified Date: 06/05/2024
Date Tested: 04/06/2024
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Ball penetration in freshly mixed concrete (average) 3.75 inch