Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215350 DEA: 081E0604 EFIS: 0813000140
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-18-97.0/99.5
Work Description: WIDEN ROADWAY WITH HMA, MINOR CONCRETE & MODIFY SIGNAL & LIGHTING.
Location Description: SAN BERNARDINO COUNTY IN VICTORVILLE FROM AMARGOSA ROAD TO COBALT ROAD
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: 135 S STATE COLLEGE BLVD #400, BREA CA 92821
Resident Engineer: Larry Canuti Structure Rep.: Unknown
DIME Sample ID: 2021-08-27-23
TL Number from the TL Form: 1031-827
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: 08/27/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/03/2021
The quantity of what the sample constitutes: 2
A brief description of the sample: concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 1031-827
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Not Provided
The concrete mix design number: CT675F25
The truck number from where the sample was collected: Not Provided on TL
The batch plant ticket number from where the sample was collected: Not Provided
Concrete batch plant: Not Provided
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: Sta 56000 DS7 South Side Palmdale Road
From Lot No.:
Bag Lot No.:
DIME Test ID: 2021-08-27-23-1
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 09/04/2021
Date Tested: 09/04/2021
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:
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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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Average diameter of cylinder 1
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4.03 in
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Average diameter of cylinder 2
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4.03 in
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Capped in accordance with?
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ASTM C617 - Sulfur Mortar Cap
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Cross sectional area of cylinder 1
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12.76 in^2
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Cross sectional area of cylinder 2
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12.76 in^2
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Compressive strength (to nearest 10 psi)
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3800 psi
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Maximum load on cylinder 1
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48810 lb
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Maximum load on cylinder 2
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48250 lb
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Compressive strength of cylinder 1
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3825.2 psi
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Type of fracture pattern of cylinder 1
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2
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Compressive strength of cylinder 2
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3781.3 psi
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Type of fracture pattern of cylinder 2
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2
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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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1
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Age of specimen
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8 days
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Age of specimen in hours
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0 hours
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