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Sample Record for 2016-10-07-1

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

Project Information

Project ID: 209141 DEA: 07215954 EFIS: 0700001835 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-0.0/7.6
Work Description: WIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location Description: LOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342
Resident Engineer: Thang Ton Structure Rep.: Amare Tsagie

Sample Information

DIME Sample ID: 2016-10-07-1
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT D07 - Santa Fe Springs Structures Construction Field Office 1
Sample Organization Contact: (562) 345-9910
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/07/2016
Date that the sample was received by the laboratory/organization performing the testing: 10/08/2016
The quantity of what the sample constitutes: 1
A brief description of the sample: RW 314 footing
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier: 53E0213
Structure name: RW 314
The fabricator/manufacturer/facility name: SPC

Material Information

The concrete mix design number: G3-15-3600-590
The truck number from where the sample was collected: load 18
The batch plant ticket number from where the sample was collected: 37129
Concrete batch plant: SPC onsite batch plant
The fabricator/manufacturer designation for the sample: on site batch plant
A detailed description of where the material sample was collected: CHUTE FROM TRUCK
Where the material sample would have been placed if not sampled: RW Footing
From Lot No.: Unknown
Bag Lot No.: Unknown
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2016-10-07-1-1
Test Method: CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 11/06/2016
Date Tested: 11/03/2016
Submitted By Organization: CT D07 - Santa Fe Springs Field Laboratory
Organization Address: 13230 Firestone Boulevard, Suite J,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: arnold.truong@dot.ca.gov
Organization Phone: (213) 808-4582
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 4230 psi
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Age of specimen 27 days