Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 209920 DEA: 072W5404 EFIS: 0713000206
QA Service Level: 1
DIST-CO-RTE-PM: 07-KER-5725-
Work Description: CONSTRUCT WASH BUILDING FACILITY.
Location Description: KERN COUNTY IN LEBEC AT THE LEBEC MAINTENANCE STATION AT 1586 LEBEC SERVICE ROAD
Contractor Name: GEMS ENVIRONMENTAL MANAGEMENT SERVICES, INC.
Contractor Address: 1120 Willow Pass Ct., Corcord, CA 94520
Resident Engineer: Efraim Chavez Structure Rep.: Paramananthan Piratheepan
DIME Sample ID: 2015-08-19-5
TL Number from the TL Form: 2W5404 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: 08/19/2015
Date that the sample was received by the laboratory/organization performing the testing: 08/24/2015
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: 917-2
Structure unique identifier: 1586 LEBEC SERVICE RD LEBEC CA
Structure name: BLDG STEM AND WALL FOOTING
The fabricator/manufacturer/facility name: JOB
The concrete mix design number: RD CLASS2
The truck number from where the sample was collected: A108
The batch plant ticket number from where the sample was collected: 21637
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: 2015-08-19-5-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 09/16/2015
Date Tested: 09/16/2015
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:
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Unit system used?
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US Units
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Number of specimens
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2
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Test performed
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With no density determined
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Capped in accordance with?
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ASTM C617/CTM521
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Average diameter of cylinder 1
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6.02 in
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Average diameter of cylinder 2
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6.02 in
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Cross sectional area of cylinder 1
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28.46 in^2
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Cross sectional area of cylinder 2
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28.46 in^2
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Compressive strength (to nearest 10 psi)
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3670 psi
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Maximum load on cylinder 1
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102400 lb
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Maximum load on cylinder 2
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106370 lb
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Compressive strength of cylinder 1
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3598.0 psi
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Type of fracture pattern of cylinder 1
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3
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Compressive strength of cylinder 2
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3737.5 psi
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Type of fracture pattern of cylinder 2
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3
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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
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Correction factor for cylinder 2
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no data
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Age of specimen
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28 days
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Age of specimen in hours
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no data
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