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Sample Record for 2016-10-27-2

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

Project Information

Project ID: 211393 DEA: 081F1104 EFIS: 0814000160 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-38-38.6-L5759
Work Description: CONSTRUCT A SAND HOUSE AND CHAIN LINK FENCE AT ONYX SUMMIT
Location Description: SAN BERNARDINO COUNTY AT ONYX SUMMIT 0.7 MILES SOUTH OF PIPES ROAD
Contractor Name: BRM
Contractor Address: Unknown
Resident Engineer: Al-Hakem Alina Structure Rep.: Al-Hakem Alina

Sample Information

DIME Sample ID: 2016-10-27-2
TL Number from the TL Form: 1027
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: 10/27/2016
Date that the sample was received by the laboratory/organization performing the testing: 10/31/2016
The quantity of what the sample constitutes: 4
A brief description of the sample: 6X12
From where was the sample collected: Job Site
Laboratory sample identification: 949-27
Structure unique identifier: ONYX SUMMIT SAND HOUSE
Structure name: CONCRETE WALL
The fabricator/manufacturer/facility name: ROBERTSONS

Material Information

The concrete mix design number: RRM09013
The truck number from where the sample was collected: 730
The batch plant ticket number from where the sample was collected: 2319116
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: TAIL
Where the material sample would have been placed if not sampled: Unknown
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Results

Test 1 of 3

DIME Test ID: 2016-10-27-2-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
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: 213-792-4794
This test has been superseded on 11/28/2016.
Reason: corrected

Test 2 of 3

DIME Test ID: 2016-10-27-2-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/28/2016
Date Tested: 11/25/2016
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 5.99 in
Average diameter of cylinder 2 6.01 in
Cross sectional area of cylinder 1 28.18 in^2
Cross sectional area of cylinder 2 28.37 in^2
Compressive strength (to nearest 10 psi) 5890 psi
Maximum load on cylinder 1 174500 lb
Maximum load on cylinder 2 158440 lb
Compressive strength of cylinder 1 6192.3 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 5584.8 psi
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 no data
Age of specimen 29 days
Age of specimen in hours no data

Test 3 of 3

DIME Test ID: 2016-10-27-2-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/28/2016
Date Tested: 11/03/2016
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 5.97 in
Average diameter of cylinder 2 5.97 in
Cross sectional area of cylinder 1 27.99 in^2
Cross sectional area of cylinder 2 27.99 in^2
Compressive strength (to nearest 10 psi) 4300 psi
Maximum load on cylinder 1 119960 lb
Maximum load on cylinder 2 120980 lb
Compressive strength of cylinder 1 4285.8 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 4322.3 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