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Sample Record for 2015-10-06-4

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

Project Information

Project ID: 7409 DEA: 07245403 EFIS: 0700000431 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-31.1/32.3
Work Description: Construct Connector between I-10 and I-605 (Design Build Project) LA-10-31.1/32.3, LA-605-R20.2/20.6
Location Description: 10 & 605 IC
Contractor Name: MCM Construction, Inc.
Contractor Address: 6413 32nd Street, North Highlands, CA 95660
Resident Engineer: Hassan Azima Structure Rep.: Ali EL-Zaynab

Sample Information

DIME Sample ID: 2015-10-06-4
TL Number from the TL Form: 60523
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: 10/06/2015
Date that the sample was received by the laboratory/organization performing the testing: 10/08/2015
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: 854-23
Structure unique identifier: 10 AND 605 INTERCHANGE
Structure name: ABUTMENT 18 HINGE POUR
The fabricator/manufacturer/facility name: NATIONAL

Material Information

The concrete mix design number: S75133
The truck number from where the sample was collected: 456
The batch plant ticket number from where the sample was collected: 210199
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: TRUCK
Where the material sample would have been placed if not sampled: Unknown
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2015-10-06-4-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/20/2015
Date Tested: 10/20/2015
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617/CTM521
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
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) 4380 psi
Maximum load on cylinder 1 126070 lb
Maximum load on cylinder 2 121630 lb
Compressive strength of cylinder 1 4459.5 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 4302.4 psi
Type of fracture pattern of cylinder 2 3
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 no data
Age of specimen 14 days
Age of specimen in hours no data

Test 2 of 3

DIME Test ID: 2015-10-06-4-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/27/2015
Date Tested: 10/27/2015
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617/CTM521
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
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) 4570 psi
Maximum load on cylinder 1 129410 lb
Maximum load on cylinder 2 129000 lb
Compressive strength of cylinder 1 4577.6 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 4563.1 psi
Type of fracture pattern of cylinder 2 3
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 no data
Age of specimen 21 days
Age of specimen in hours no data

Test 3 of 3

DIME Test ID: 2015-10-06-4-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/03/2015
Date Tested: 11/03/2015
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:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Capped in accordance with? ASTM C617/CTM521
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
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) 5480 psi
Maximum load on cylinder 1 154940 lb
Maximum load on cylinder 2 155100 lb
Compressive strength of cylinder 1 5480.7 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 5486.4 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 no data
Age of specimen 28 days
Age of specimen in hours no data