Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 208900 DEA: 07265904 EFIS: 0700000497
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-101-1.6/10.4
Work Description: REPLACE BRIDGE RAILING.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES AT VARIOUS LOCATIONS FROM FOUR LEVEL STRUCTURE TO LANKERSHIM BOULEVARD UNDERCROSSING
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 1792 KAISER AVE, IRVINE, CA 92614
Resident Engineer: HASSAN AZIMA Structure Rep.: Sarah Hartz
DIME Sample ID: 2015-05-10-1
TL Number from the TL Form: 150510
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: 05/10/2015
Date that the sample was received by the laboratory/organization performing the testing: 05/13/2015
The quantity of what the sample constitutes: 12
A brief description of the sample: 6X12
From where was the sample collected: Job Site
Laboratory sample identification: 885-10
Structure unique identifier: CAHUENGA BRIDGE
Structure name: LEFT SIDE CURB
The fabricator/manufacturer/facility name: JOB
The concrete mix design number: 557237
The truck number from where the sample was collected: NP
The batch plant ticket number from where the sample was collected: NOT PROVIVDED
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: NOT PROVIDED
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2015-05-10-1-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/15/2015
Date Tested: 05/15/2015
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)
|
3070 psi
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
Correction factor for cylinder 1
|
1
|
Age of specimen
|
5 days
|
DIME Test ID: 2015-05-10-1-2
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/18/2015
Date Tested: 05/16/2015
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)
|
3350 psi
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
Correction factor for cylinder 1
|
1
|
Age of specimen
|
6 days
|
DIME Test ID: 2015-05-10-1-3
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/18/2015
Date Tested: 05/17/2015
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
|
28.37 in^2
|
Cross sectional area of cylinder 2
|
28.27 in^2
|
Compressive strength (to nearest 10 psi)
|
3450 psi
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
Correction factor for cylinder 1
|
1
|
Age of specimen
|
7 days
|
DIME Test ID: 2015-05-10-1-4
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/18/2015
Date Tested: 05/20/2015
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)
|
3660 psi
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
Correction factor for cylinder 1
|
1
|
Age of specimen
|
8 days
|
DIME Test ID: 2015-05-10-1-5
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/26/2015
Date Tested: 05/26/2015
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)
|
4090 psi
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
Correction factor for cylinder 1
|
1
|
Age of specimen
|
16 days
|
DIME Test ID: 2015-05-10-1-6
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 06/08/2015
Date Tested: 06/08/2015
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
|
28.37 in^2
|
Cross sectional area of cylinder 2
|
28.37 in^2
|
Compressive strength (to nearest 10 psi)
|
5050 psi
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
Correction factor for cylinder 1
|
1
|
Age of specimen
|
29 days
|