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Sample Record for 2016-10-29-1

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

Project Information

Project ID: 209139 DEA: 071170U4 EFIS: 0700000085 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-33.2/37.2
Work Description: CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location Description: LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
Contractor Name: Ames Construction, inc.
Contractor Address: 391 N Main Street, Suite 302, Corona, Ca 92880
Resident Engineer: Raj Punjabi Structure Rep.: Cardiel Bugarin

Sample Information

DIME Sample ID: 2016-10-29-1
TL Number from the TL Form: 101088395
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: 10/29/2016
Date that the sample was received by the laboratory/organization performing the testing: 11/01/2016
The quantity of what the sample constitutes: 6
A brief description of the sample: 6X12
From where was the sample collected: Job Site
Laboratory sample identification: 882-95
Structure unique identifier: ROUTE 10 WEST COVINA
Structure name: RW 812 He CONCRETE BARRIER SECTION
The fabricator/manufacturer/facility name: HOLLIDAY

Material Information

The concrete mix design number: CM5645
The truck number from where the sample was collected: 631
The batch plant ticket number from where the sample was collected: 101088381
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: TRUCK
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: 2016-10-29-1-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/02/2016
Date Tested: 11/01/2016
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 victoria st,
Organization City: fontana
Organization State:
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test: 1 of 2 cylinders received was damaged while curing in the field, not tested.
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 1
Test performed With no density determined
Capped in accordance with? ASTM C617/CTM521
Average diameter of cylinder 1 6.02 in
Cross sectional area of cylinder 1 28.46 in^2
Compressive strength of cylinder (to nearest 10 psi) 2300 psi
Maximum load on cylinder 1 65320 lb
Type of fracture pattern of cylinder 1 3
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 3 days
Age of specimen in hours no data

Test 2 of 3

DIME Test ID: 2016-10-29-1-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/03/2016
Date Tested: 11/03/2016
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 victoria st,
Organization City: fontana
Organization State:
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 6.01 in
Average diameter of cylinder 2 6.02 in
Cross sectional area of cylinder 1 28.37 in^2
Cross sectional area of cylinder 2 28.46 in^2
Compressive strength (to nearest 10 psi) 2740 psi
Maximum load on cylinder 1 78640 lb
Maximum load on cylinder 2 77240 lb
Compressive strength of cylinder 1 2771.9 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 2714.0 psi
Type of fracture pattern of cylinder 2 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 no data
Age of specimen 5 days
Age of specimen in hours no data

Test 3 of 3

DIME Test ID: 2016-10-29-1-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/28/2016
Date Tested: 11/26/2016
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 victoria st,
Organization City: fontana
Organization State:
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 6.02 in
Average diameter of cylinder 2 6.02 in
Cross sectional area of cylinder 1 28.46 in^2
Cross sectional area of cylinder 2 28.46 in^2
Compressive strength (to nearest 10 psi) 4350 psi
Maximum load on cylinder 1 124920 lb
Maximum load on cylinder 2 122580 lb
Compressive strength of cylinder 1 4389.3 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 4307.1 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 28 days
Age of specimen in hours no data