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Sample Record for 2017-10-10-9

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: 2017-10-10-9
TL Number from the TL Form: 017
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: 10/10/2017
Date that the sample was received by the laboratory/organization performing the testing: 10/16/2017
The quantity of what the sample constitutes: 10
A brief description of the sample: 6x12
From where was the sample collected: Job Site
Laboratory sample identification: 942-017
Structure unique identifier: CENDA BRIDGE
Structure name: CENDA BRIDGE
The fabricator/manufacturer/facility name: CALPORTLAND

Material Information

The concrete mix design number: P40AF033
The truck number from where the sample was collected: 8145
The batch plant ticket number from where the sample was collected: S517710
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 STAGE 2 APPROACH SLABS AT ABUT 1 AND 4
From Lot No.: Unknown
Bag Lot No.: Unknown
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2017-10-10-9-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/17/2017
Date Tested: 10/17/2017
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 6.00 in
Average diameter of cylinder 2 6.00 in
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) 5030 psi
Maximum load on cylinder 1 142930 lb
Maximum load on cylinder 2 141540 lb
Compressive strength of cylinder 1 5055.9 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 5006.7 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: 2017-10-10-9-2
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 10/31/2017
Date Tested: 10/31/2017
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 6.01 in
Average diameter of cylinder 2 6.00 in
Cross sectional area of cylinder 1 28.37 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 5980 psi
Maximum load on cylinder 1 170400 lb
Maximum load on cylinder 2 168480 lb
Compressive strength of cylinder 1 6006.3 psi
Type of fracture pattern of cylinder 1 2
Compressive strength of cylinder 2 5959.7 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 21 days
Age of specimen in hours no data

Test 3 of 3

DIME Test ID: 2017-10-10-9-3
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521
Verified Date: 11/07/2017
Date Tested: 11/07/2017
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
Cross sectional area of cylinder 1 28.37 in^2
Cross sectional area of cylinder 2 28.27 in^2
Capped in accordance with? ASTM C617/CTM521
Compressive strength (to nearest 10 psi) 7120 psi
Average diameter of cylinder 1 6.01 in
Average diameter of cylinder 2 6.00 in
Compressive strength of cylinder 1 7103.6 psi
Compressive strength of cylinder 2 7128.8 psi
Maximum load on cylinder 1 201530 lb
Maximum load on cylinder 2 201530 lb
Type of fracture pattern of cylinder 1 3
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