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Sample Record for 2015-12-21-1

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: 2015-12-21-1
TL Number from the TL Form: SRL 128
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: 12/21/2015
Date that the sample was received by the laboratory/organization performing the testing: 12/28/2015
The quantity of what the sample constitutes: 6
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 888-SRL128
Structure unique identifier: Unknown
Structure name: Unknown
The fabricator/manufacturer/facility name: Holliday Rock Chino

Material Information

The concrete mix design number: CM5645
The truck number from where the sample was collected: 287
The batch plant ticket number from where the sample was collected: 118039435
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Batch Plant
A detailed description of where the material sample was collected: Jobsite
Where the material sample would have been placed if not sampled: RW 140 FTG
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Results

Test 1 of 3

DIME Test ID: 2015-12-21-1-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/04/2016
Date Tested: 01/04/2016
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) 3940 psi
Maximum load on cylinder 1 110450 lb
Maximum load on cylinder 2 110920 lb
Compressive strength of cylinder 1 3932.0 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 3948.7 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 2 of 3

DIME Test ID: 2015-12-21-1-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/11/2016
Date Tested: 01/11/2016
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 5.99 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) 4770 psi
Maximum load on cylinder 1 132630 lb
Maximum load on cylinder 2 136160 lb
Compressive strength of cylinder 1 4706.5 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 4831.8 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: 2015-12-21-1-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/19/2016
Date Tested: 01/19/2016
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 5.99 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) 4900 psi
Maximum load on cylinder 1 138760 lb
Maximum load on cylinder 2 137490 lb
Compressive strength of cylinder 1 4924.1 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 4879.0 psi
Type of fracture pattern of cylinder 2 2
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 29 days
Age of specimen in hours no data