Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 209553 DEA: 08336304 EFIS: 0800000608
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-38-26.3/26.8
Work Description: BRIDGE DECK REPLACEMENT
Location Description: SAN BERNARDINO COUNTY NEAR BARTON FLATS AT HATHAWAY CREEK BRIDGE
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: 8555 Banana Ave, Fontana, CA 92335
Resident Engineer: Nhan Nguyen Structure Rep.: Tim Flores
DIME Sample ID: 2015-08-07-3
TL Number from the TL Form: 2
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: 08/07/2015
Date that the sample was received by the laboratory/organization performing the testing: 08/10/2015
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: 906-2
Structure unique identifier: 08 SBD 38 26 3 26 8
Structure name: RTE 38 SB BRIDGE CONC BARRIER
The fabricator/manufacturer/facility name: JOB
The concrete mix design number: C973395E
The truck number from where the sample was collected: 202
The batch plant ticket number from where the sample was collected: 2839
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: NP
Where the material sample would have been placed if not sampled: Unknown
From Lot No.:
Bag Lot No.:
DIME Test ID: 2015-08-07-3-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/20/2015
Date Tested: 08/14/2015
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
|
27.99 in^2
|
|
Cross sectional area of cylinder 2
|
27.99 in^2
|
|
Compressive strength (to nearest 10 psi)
|
3640 psi
|
|
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
|
1
|
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Age of specimen
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7 days
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DIME Test ID: 2015-08-07-3-2
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/21/2015
Date Tested: 08/21/2015
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
|
28.09 in^2
|
|
Cross sectional area of cylinder 2
|
28.09 in^2
|
|
Compressive strength (to nearest 10 psi)
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4120 psi
|
|
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
|
14 days
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DIME Test ID: 2015-08-07-3-3
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/04/2015
Date Tested: 09/04/2015
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
|
28.09 in^2
|
|
Cross sectional area of cylinder 2
|
28.09 in^2
|
|
Compressive strength (to nearest 10 psi)
|
4670 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
|
|
Age of specimen
|
28 days
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