Sample Record for 2015-04-15-1
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: 2015-04-15-1
TL Number from the TL Form: 847442
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: 04/15/2015
Date that the sample was received by the laboratory/organization performing the testing: 04/16/2015
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: 882-42
Structure unique identifier: Unknown
Structure name: AZUSA UC BENT CAPS AND END DIAPHRAGMS
The fabricator/manufacturer/facility name: Collected at jobsite
Material Information
The concrete mix design number: CM 5856
The truck number from where the sample was collected: 600
The batch plant ticket number from where the sample was collected: LOAD 1
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:
From Lot No.:
Bag Lot No.:
Test Results
Test 1 of 3
DIME Test ID: 2015-04-15-1-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 04/22/2015
Date Tested: 04/22/2015
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:
|
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)
|
4360 psi
|
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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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|
Correction factor for cylinder 1
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1
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Age of specimen
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7 days
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Test 2 of 3
DIME Test ID: 2015-04-15-1-2
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/06/2015
Date Tested: 05/06/2015
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:
|
Cross sectional area of cylinder 1
|
28.27 in^2
|
|
Cross sectional area of cylinder 2
|
28.18 in^2
|
|
Compressive strength (to nearest 10 psi)
|
5690 psi
|
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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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Correction factor for cylinder 1
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1
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Age of specimen
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21 days
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Test 3 of 3
DIME Test ID: 2015-04-15-1-3
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/13/2015
Date Tested: 05/13/2015
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:
|
Cross sectional area of cylinder 1
|
28.27 in^2
|
|
Cross sectional area of cylinder 2
|
28.18 in^2
|
|
Compressive strength (to nearest 10 psi)
|
5810 psi
|
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
|
Correction factor for cylinder 1
|
1
|
|
Age of specimen
|
28 days
|
