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Sample Record for 2016-12-14-10

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: 2016-12-14-10
TL Number from the TL Form: 888SRL385
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: 12/14/2016
Date that the sample was received by the laboratory/organization performing the testing: 12/19/2016
The quantity of what the sample constitutes: 6
A brief description of the sample: 6x12 concrete cylindes
From where was the sample collected: Job Site
Laboratory sample identification: 888SRL385
Structure unique identifier: Unknown
Structure name: 91 CIP
The fabricator/manufacturer/facility name: Jobsite

Material Information

The concrete mix design number: 3H40H002
The truck number from where the sample was collected: 250
The batch plant ticket number from where the sample was collected: 118057319
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: LOAD 1
Where the material sample would have been placed if not sampled: BRIDGE 28 BENT 8
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Results

Test 1 of 2

DIME Test ID: 2016-12-14-10-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/24/2017
Date Tested: 12/21/2016
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 6.02 in
Average diameter of cylinder 2 6.01 in
Cross sectional area of cylinder 1 28.46 in^2
Cross sectional area of cylinder 2 28.37 in^2
Compressive strength (to nearest 10 psi) 5650 psi
Maximum load on cylinder 1 161750 lb
Maximum load on cylinder 2 159510 lb
Compressive strength of cylinder 1 5683.4 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 5622.5 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 2

DIME Test ID: 2016-12-14-10-3
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 01/11/2017
Date Tested: 01/11/2017
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 6.02 in
Average diameter of cylinder 2 6.00 in
Cross sectional area of cylinder 1 28.46 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 6990 psi
Maximum load on cylinder 1 198470 lb
Maximum load on cylinder 2 198250 lb
Compressive strength of cylinder 1 6973.6 psi
Type of fracture pattern of cylinder 1 3
Compressive strength of cylinder 2 7012.7 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 28 days
Age of specimen in hours no data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2016-12-14-10-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens12/21/201612/28/2016Matthew ClaytonCT D08 - Fontana Southern Regional Laboratory