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Sample Record for 2015-12-08-3

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

Project Information

Project ID: 210088 DEA: 074X3804 EFIS: 0715000168 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-110-23.2/23.7
Work Description: Repair damaged highway and roadside facility
Location Description: LA-110 at the 101/10 & 5 connectors , in downtown LA
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 1792 KAISER AVENUE, IRVINE, CA 92614
Resident Engineer: Ragy Samy Structure Rep.: Mark Amorsolo

Sample Information

DIME Sample ID: 2015-12-08-3
TL Number from the TL Form: A1B2C3
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: 12/08/2015
Date that the sample was received by the laboratory/organization performing the testing: 12/15/2015
The quantity of what the sample constitutes: 4
A brief description of the sample: Concrete Cylinder 6 x 12
From where was the sample collected: Job Site
Laboratory sample identification: 928-C3
Structure unique identifier: Unknown
Structure name: Unknown
The fabricator/manufacturer/facility name: LEHIGH

Material Information

The concrete mix design number: 557237SP
The truck number from where the sample was collected: 331
The batch plant ticket number from where the sample was collected: 4E07
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Plant
A detailed description of where the material sample was collected: CHUTE
Where the material sample would have been placed if not sampled: NB 110 RIGHT POST STA 1242 plus 30
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2015-12-08-3-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/16/2015
Date Tested: 12/15/2015
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) 3210 psi
Maximum load on cylinder 1 89830 lb
Maximum load on cylinder 2 90610 lb
Compressive strength of cylinder 1 3197.9 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 3225.7 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 no data
Age of specimen 7 days
Age of specimen in hours no data

Test 2 of 2

DIME Test ID: 2015-12-08-3-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/05/2016
Date Tested: 01/05/2016
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) 4770 psi
Maximum load on cylinder 1 133130 lb
Maximum load on cylinder 2 135100 lb
Compressive strength of cylinder 1 4739.4 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 4809.5 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