Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 208714 DEA: 08043514 EFIS: 0800000010
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-58-R22.2/R31.1
Work Description: REALIGN AND WIDEN 2 TO 4 LANES EXPRESSWAY
Location Description: HINKLEY ROAD FROM 2.4 MILES WEST OF HIDDEN RIVER ROAD TO? 0.7 MILE EAST OF LENWOOD ROAD.
Contractor Name: Skanska Civil USA
Contractor Address: 1995 Agua Mansa Road, Riverside, CA 92509
Resident Engineer: Shaine Shahidi Structure Rep.: Ahmad Ankir
DIME Sample ID: 2015-07-31-2
TL Number from the TL Form: 001
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: 07/31/2015
Date that the sample was received by the laboratory/organization performing the testing: 08/03/2015
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: 915-01
Structure unique identifier: Unknown
Structure name: BRIDGE FOOTING FOR HINKLEY OC
The fabricator/manufacturer/facility name: JOB
The concrete mix design number: SC675B38
The truck number from where the sample was collected: NP
The batch plant ticket number from where the sample was collected: NP
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.:
DIME Test ID: 2015-07-31-2-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/07/2015
Date Tested: 08/07/2015
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
|
28.46 in^2
|
|
Cross sectional area of cylinder 2
|
28.46 in^2
|
|
Compressive strength (to nearest 10 psi)
|
3490 psi
|
|
Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
|
|
Correction factor for cylinder 1
|
1
|
|
Age of specimen
|
7 days
|
DIME Test ID: 2015-07-31-2-2
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
|
28.46 in^2
|
|
Cross sectional area of cylinder 2
|
28.46 in^2
|
|
Compressive strength (to nearest 10 psi)
|
4350 psi
|
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
|
Correction factor for cylinder 1
|
1
|
|
Age of specimen
|
21 days
|
DIME Test ID: 2015-07-31-2-3
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 08/28/2015
Date Tested: 08/28/2015
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
|
28.46 in^2
|
|
Cross sectional area of cylinder 2
|
28.46 in^2
|
|
Compressive strength (to nearest 10 psi)
|
4550 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
|
