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Sample Record for 2015-11-05-3

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

Project Information

Project ID: 209217 DEA: 080F5404 EFIS: 0800000136 COOP: 081468 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-91,15-0.0/13.04, 35.64/45.14
Work Description: SR-91 Corridor Improvement Project: Develop approx. 8 miles of tolled express lanes and related improvements within SR 91 between the Riverside/Orange County line and I-15, including transition areas.
Location Description: 08-RIV-91-0.0/13.04; 12-ORA-91-R14.43/R18.91; 08-RIV-15-35.64/45.14
Contractor Name: Atkinson Walsh, Joint Venture
Contractor Address: 1785 Sampson Ave, Corona, CA 92879
Resident Engineer: Richard Hebert Structure Rep.: Cyrus Shahinpar

Sample Information

DIME Sample ID: 2015-11-05-3
TL Number from the TL Form: SRL111
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: 11/05/2015
Date that the sample was received by the laboratory/organization performing the testing: 11/09/2015
The quantity of what the sample constitutes: 8
A brief description of the sample: 6X12
From where was the sample collected: Job Site
Laboratory sample identification: 888-SRL 111
Structure unique identifier: 91 CIP
Structure name: BR 16 DECK
The fabricator/manufacturer/facility name: HOLLIDAY

Material Information

The concrete mix design number: 5642
The truck number from where the sample was collected: 634
The batch plant ticket number from where the sample was collected: 118036441
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: LOAD 21
Where the material sample would have been placed if not sampled: Unknown
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 4

DIME Test ID: 2015-11-05-3-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/12/2015
Date Tested: 11/12/2015
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 5.98 in
Average diameter of cylinder 2 5.98 in
Cross sectional area of cylinder 1 28.09 in^2
Cross sectional area of cylinder 2 28.09 in^2
Compressive strength (to nearest 10 psi) 4290 psi
Maximum load on cylinder 1 123370 lb
Maximum load on cylinder 2 117920 lb
Compressive strength of cylinder 1 4392.0 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 4197.9 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 7 days
Age of specimen in hours no data

Test 2 of 4

DIME Test ID: 2015-11-05-3-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/16/2015
Date Tested: 11/16/2015
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:
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 5.99 in
Average diameter of cylinder 2 5.99 in
Cross sectional area of cylinder 1 28.18 in^2
Cross sectional area of cylinder 2 28.18 in^2
Compressive strength (to nearest 10 psi) 5050 psi
Maximum load on cylinder 1 148030 lb
Maximum load on cylinder 2 136370 lb
Compressive strength of cylinder 1 5253.0 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 4839.2 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 11 days
Age of specimen in hours no data

Test 3 of 4

DIME Test ID: 2015-11-05-3-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/19/2015
Date Tested: 11/19/2015
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 5.99 in
Average diameter of cylinder 2 5.99 in
Cross sectional area of cylinder 1 28.18 in^2
Cross sectional area of cylinder 2 28.18 in^2
Compressive strength (to nearest 10 psi) 5310 psi
Maximum load on cylinder 1 149780 lb
Maximum load on cylinder 2 149250 lb
Compressive strength of cylinder 1 5315.1 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 5296.3 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 no data
Age of specimen 14 days
Age of specimen in hours no data

Test 4 of 4

DIME Test ID: 2015-11-05-3-4
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/03/2015
Date Tested: 12/03/2015
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 5.99 in
Average diameter of cylinder 2 5.99 in
Cross sectional area of cylinder 1 28.18 in^2
Cross sectional area of cylinder 2 28.18 in^2
Compressive strength (to nearest 10 psi) 6030 psi
Maximum load on cylinder 1 166690 lb
Maximum load on cylinder 2 172990 lb
Compressive strength of cylinder 1 5915.2 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 6138.8 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