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Testing Report for 2015-06-17-2-1

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

Project Information

DEA: 080K7104
EFIS: 0800000366
Project ID: 208862
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15,215-14.0/R16.4,16.0/17.8
Work Description: I-15/I-215 Interchange Improvements (Devore)
Location Description: On I-15 from 0.8 mile south of Glen Helen Parkway UC to 1.4 mile north of Kenwood Ave UC And On I-215 from 1.2 mile south of Devore Road OC to the I-15 junction
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Owen Spencer
Structure Rep.: Scott Gueltzow

Sample Information

DIME Sample ID: 2015-06-17-2
TL Number from the TL Form: 180601
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 6/17/2015
Date that the sample was received by the laboratory/organization performing the testing: 6/18/2015
The quantity of what the sample constitutes: 2
A brief description of the sample: 6X12
From where was the sample collected: Job Site
Laboratory sample identification: 868-01
Structure unique identifier: BRIDGES 4 AND 5
Structure name: BENT CAPS
The fabricator/manufacturer/facility name: JOB

Material Information

The concrete mix design number: CM5800
The truck number from where the sample was collected: 360
The batch plant ticket number from where the sample was collected: 103036098
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: CHUTE
Where the material sample would have been placed if not sampled: Unknown
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2015-06-17-2-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Date Tested: 7/29/2015
Verified Date: 8/12/2015
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

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): 3870 psi
Comment on any defect in either specimen or caps (Max 250 Characters): `
Correction factor for cylinder 1: 1
Age of specimen: 42 days