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Testing Report for 2021-09-09-38-2

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

Project Information

DEA: 050N7AU4
EFIS: 0520000030
Project ID: 214756
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-1.4/4.8
Work Description: Segment 4A - Carpinteria: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, epoxy coated rebar, precast box culverts, precast RCP.
Location Description: CARPINTERIA FROM 0.2 MILE SOUTH OF BAILARD AVENUE OVERCROSSING TO 0.7 MILE SOUTH OF SOUTH PADARO LANE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Taylor Merlo
Structure Rep.: Bernardo Hernandez

Sample Information

DIME Sample ID: 2021-09-09-38
TL Number from the TL Form:
Sample Submitted By Organization: Sequoia Consultant
Sample Organization Contact: 1 (714) 974-6316
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 9/9/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/7/2021
The quantity of what the sample constitutes: 3 cylinders
A brief description of the sample: Class II
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hanson - Goleta

Material Information

The concrete mix design number: 63511N0P
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 649659
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: NB HWY 101
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2021-09-09-38-2
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Date Tested: 10/7/2021
Verified Date: 10/7/2021
Submitted By Organization: Sequoia Consultant
Organization Address: 361 W Grove Ave,
Organization City: Orange
Organization State: CA
Organization Zipcode: 92865
Organization Email: sranjan@sequoiacon.com
Organization Phone: 1 (714) 974-6316
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of specimens: 3
Average Compressive Strength (to nearest 10): 4150 lb/in^2
Cylinder Age: 28 days
Break Description of Cylinder 1 (if not 'cone'): 2
Break Description of Cylinder 2 (if not 'cone'): 2
Break Description of Cylinder 3 (if not 'cone'): 2