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Sample Record for 2021-08-04-1

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

Project Information

Project ID: 215359 DEA: 081K1904 EFIS: 0818000207 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-16.1/169.4
Work Description: REMOVE, PREPARE AND FURNISH POLYESTER CONC OVERLAY & BRIDGE DECK.
Location Description: SAN BERNARDINO COUNTY IN AND NEAR HESPERIA AT VARIOUS LOCATIONS FROM CAJON CREEK TO MICRO DITCH.
Contractor Name: VELARDE CONCRETE CONSTRUCTION
Contractor Address: 523 S. BRAND BLVD, SAN FERNANDO CA 91340
Resident Engineer: Thanh Pham Structure Rep.: Monty Navarro

Sample Information

DIME Sample ID: 2021-08-04-1
TL Number from the TL Form: 1003-84
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 08/04/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/04/2021
The quantity of what the sample constitutes: 8
A brief description of the sample: Concrete Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1030-84
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Holliday

Material Information

The concrete mix design number: NA
The truck number from where the sample was collected: NA
The batch plant ticket number from where the sample was collected: 84
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: SITE
Where the material sample would have been placed if not sampled: Roy Rogers Drive OC
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 5

DIME Test ID: 2021-08-04-1-1
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 08/06/2021
Date Tested: 08/05/2021
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Average diameter of cylinder 1 5.99 in
Average diameter of cylinder 2 6.00 in
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Cross sectional area of cylinder 1 28.18 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 4570 psi
Maximum load on cylinder 1 126850 lb
Maximum load on cylinder 2 131080 lb
Compressive strength of cylinder 1 4501.4 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 4636.7 psi
Type of fracture pattern of cylinder 2 1
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 1 days
Age of specimen in hours 0 hours

Test 2 of 5

DIME Test ID: 2021-08-04-1-2
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 08/07/2021
Date Tested: 08/07/2021
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: Tested @ 4:10am
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 4630 psi
Maximum load on cylinder 1 133140 lb
Maximum load on cylinder 2 128840 lb
Compressive strength of cylinder 1 4709.6 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 4557.5 psi
Type of fracture pattern of cylinder 2 2
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 3 days
Age of specimen in hours 0 hours

Test 3 of 5

DIME Test ID: 2021-08-04-1-3
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
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: 213-792-4794
This test has been superseded on 09/01/2021. The corrected test ID is: 2021-08-04-1-5
Reason: retested

Test 4 of 5

DIME Test ID: 2021-08-04-1-4
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 09/01/2021
Date Tested: 09/01/2021
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Average diameter of cylinder 1 6.02 in
Average diameter of cylinder 2 6.00 in
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Cross sectional area of cylinder 1 28.46 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 5190 psi
Maximum load on cylinder 1 144580 lb
Maximum load on cylinder 2 149900 lb
Compressive strength of cylinder 1 5080.1 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 5302.4 psi
Type of fracture pattern of cylinder 2 1
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 28 days
Age of specimen in hours 0 hours

Test 5 of 5

DIME Test ID: 2021-08-04-1-5
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 09/01/2021
Date Tested: 08/11/2021
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:
The test was superseded from test ID: 2021-08-04-1-3
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Average diameter of cylinder 1 5.99 in
Average diameter of cylinder 2 6.00 in
Capped in accordance with? ASTM C617 - Sulfur Mortar Cap
Cross sectional area of cylinder 1 28.18 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 4750 psi
Maximum load on cylinder 1 133945 lb
Maximum load on cylinder 2 133980 lb
Compressive strength of cylinder 1 4753.2 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 4739.3 psi
Type of fracture pattern of cylinder 2 1
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 7 days
Age of specimen in hours 0 hours