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Sample Record for 2015-12-15-3

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

Project Information

Project ID: 208682 DEA: 083401U4 EFIS: 0800000609 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-138,138-6.2/6.4,2.3/R15.2
Work Description: WIDEN TO 4 LNS FR BEEKLEY RD TO JCT 15, ADD 1 LN EB FR PHELAN RD TO
Location Description: SAN BERNARDINO COUNTY ON ROUTE 138 NEAR PHELAN FROM 0.6 MILE WEST OF PHELAN ROAD TO THE JUNCTION OF ROUTE 15 AND ON ROUTE 2 FROM 0.1 MILE NORTH OF WILD HORSE CANYON ROAD TO ROUTE 138
Contractor Name: Flatiron
Contractor Address: 1770 LA COSTA MEADOWS DRIVE, SAN MARCOS CA 92078
Resident Engineer: Elvira Lenart Structure Rep.: Osama Abdalla

Sample Information

DIME Sample ID: 2015-12-15-3
TL Number from the TL Form: 04
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: 12/15/2015
Date that the sample was received by the laboratory/organization performing the testing: 12/17/2015
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: 908-04
Structure unique identifier: ds 29 deck pour
Structure name: hwy 138 sta 250 26 11
The fabricator/manufacturer/facility name: HI GRADE

Material Information

The concrete mix design number: siti72a
The truck number from where the sample was collected: np
The batch plant ticket number from where the sample was collected: 714457
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: chute
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: 2015-12-15-3-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/22/2015
Date Tested: 12/22/2015
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 5.97 in
Average diameter of cylinder 2 5.97 in
Cross sectional area of cylinder 1 27.99 in^2
Cross sectional area of cylinder 2 27.99 in^2
Compressive strength (to nearest 10 psi) 1650 psi
Maximum load on cylinder 1 47450 lb
Maximum load on cylinder 2 45030 lb
Compressive strength of cylinder 1 1695.2 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 1608.8 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 7 days
Age of specimen in hours no data

Test 2 of 3

DIME Test ID: 2015-12-15-3-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/29/2015
Date Tested: 12/29/2015
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 5.97 in
Average diameter of cylinder 2 5.97 in
Cross sectional area of cylinder 1 27.99 in^2
Cross sectional area of cylinder 2 27.99 in^2
Compressive strength (to nearest 10 psi) 1850 psi
Maximum load on cylinder 1 54430 lb
Maximum load on cylinder 2 49310 lb
Compressive strength of cylinder 1 1944.6 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 1761.7 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 3 of 3

DIME Test ID: 2015-12-15-3-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/12/2016
Date Tested: 01/12/2016
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 5.97 in
Average diameter of cylinder 2 5.97 in
Cross sectional area of cylinder 1 27.99 in^2
Cross sectional area of cylinder 2 27.99 in^2
Compressive strength (to nearest 10 psi) 2100 psi
Maximum load on cylinder 1 57480 lb
Maximum load on cylinder 2 60320 lb
Compressive strength of cylinder 1 2053.6 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 2155.1 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 28 days
Age of specimen in hours no data