Print Report | Back to Test Summary

Testing Report for 2021-04-20-26-2

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

Project Information

DEA: 120K0214
EFIS: 1214000096
Project ID: 214355
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-12.4/14.5
Work Description: South County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. | Add one lane btwn 73 & Oso PKWY
Location Description: ORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Farid Zokai
Structure Rep.: Imad Karam

Sample Information

DIME Sample ID: 2021-04-20-26
TL Number from the TL Form:
Sample Submitted By Organization: Coreslab
Sample Organization Contact: (909) 936-7741
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 4/20/2021
Date that the sample was received by the laboratory/organization performing the testing: 4/20/2021
The quantity of what the sample constitutes: 33.6 CY
A brief description of the sample: 6x12 Cylinders
From where was the sample collected: Fabricator
Laboratory sample identification: 429
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Coreslab Structures L A Inc

Material Information

The concrete mix design number: 212
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 78408-78410
Concrete batch plant:
The fabricator/manufacturer designation for the sample: 119
A detailed description of where the material sample was collected: Bed 9 from front discharge RMT into wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2021-04-20-26-2
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Date Tested: 4/20/2021
Verified Date: 5/17/2021
Submitted By Organization: Coreslab
Organization Address: 150 W. Placenci Ave.,
Organization City: Perris
Organization State: CA
Organization Zipcode: 92571
Organization Email: bmalott@coreslab.com
Organization Phone: (909) 936-7741
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Identification of concrete represented by the sample: 212
Volume of the measure: 0.249 ft^3
Density of concrete: 151.1 lb/ft^3
Yield of concrete: no data
Relative yield of the batch: no data
Cement content: no data
Air content: 1.4 %