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Sample Record for 2016-11-15-4

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

Project Information

Project ID: 210696 DEA: 080M2804 EFIS: 0800000472 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-171.8/173.8
Work Description: BRIDGE REPLACEMENT AND WIDEN, CONC AND HMA PVMT, COLD PLANE AC PVMT.
Location Description: In SBD County
Contractor Name: M.C.M. CONSTRUCTION, INC. - Dan Shaw
Contractor Address: P.O. Box 620, North Highlands, CA 95660
Resident Engineer: John Santos Structure Rep.: Faisal Zahlout

Sample Information

DIME Sample ID: 2016-11-15-4
TL Number from the TL Form: 010-2NDSET
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: 11/15/2016
Date that the sample was received by the laboratory/organization performing the testing: 11/21/2016
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: 942-S2
Structure unique identifier: CENDA DITCH BRIDGE
Structure name: CENDA DITCH BRIDGE AT MOUNTAIN PASS
The fabricator/manufacturer/facility name: CALPORTLAND

Material Information

The concrete mix design number: P40AF0233
The truck number from where the sample was collected: 8187
The batch plant ticket number from where the sample was collected: S490878
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: TRUCK
Where the material sample would have been placed if not sampled: CENDA DITCH BRIDGE SOFIT AND STEM STAGE 1
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Results

Test 1 of 3

DIME Test ID: 2016-11-15-4-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 11/22/2016
Date Tested: 11/22/2016
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 5.96 in
Cross sectional area of cylinder 1 28.09 in^2
Cross sectional area of cylinder 2 27.9 in^2
Compressive strength (to nearest 10 psi) 2830 psi
Maximum load on cylinder 1 80560 lb
Maximum load on cylinder 2 77830 lb
Compressive strength of cylinder 1 2867.9 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 2789.6 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 7 days
Age of specimen in hours no data

Test 2 of 3

DIME Test ID: 2016-11-15-4-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/06/2016
Date Tested: 12/06/2016
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 5.96 in
Average diameter of cylinder 2 5.96 in
Cross sectional area of cylinder 1 27.9 in^2
Cross sectional area of cylinder 2 27.9 in^2
Compressive strength (to nearest 10 psi) 3790 psi
Maximum load on cylinder 1 103840 lb
Maximum load on cylinder 2 107490 lb
Compressive strength of cylinder 1 3721.9 psi
Type of fracture pattern of cylinder 1 1
Compressive strength of cylinder 2 3852.7 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 21 days
Age of specimen in hours no data

Test 3 of 3

DIME Test ID: 2016-11-15-4-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 12/13/2016
Date Tested: 12/13/2016
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 5.96 in
Average diameter of cylinder 2 5.96 in
Cross sectional area of cylinder 1 27.9 in^2
Cross sectional area of cylinder 2 27.9 in^2
Compressive strength (to nearest 10 psi) 4090 psi
Maximum load on cylinder 1 113540 lb
Maximum load on cylinder 2 114530 lb
Compressive strength of cylinder 1 4069.5 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 4105.0 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