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TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: 800-043-327 FIELD IDENTIFICATION: Set#1
CAST DATE 9/26/13 DESCRIPTION Concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hale SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V
CONC,SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 5-in.
MIX DESIGN NO. HRC06047 TOTAL YARDS NR AIR(C173) NR
(C231)
TICKET NUMBER 1222000617 CAST I MIX TIME 6:25am/5:26am AIR/CONC 57F/75F
TEMP(C1064)
LOCATION OF POUR Set#1:Column Pad 5-D
NOTES NR=Not Reported
"" Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
DATE SPECIMENS RECVD. 9/27/13 EQUIPMENT USED F8
REPORT DATE 10/24/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB./RECAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN' AREA LOAD F'c BREAK
TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE'
NUMBER
(DAYS)1 TEST TEST IN. IN. IN. IN,
42190.1.1 7 10/3/13 5:40 AM 6.00 6.00 NA NA 28.27 109,010 3,855 4
42190.1.2 28 10/24/13 6:02 AM 6.00 6.00 NA - NA 28.27 140,460 4,968 3
42190.1.3 28 10/24/13 6:11 AM 6.00 6.00 NA NA 28.27 141,040 4,988 3
Avg.F'c28= 4,978
1
'Test Schedule Provided by the Client
2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height:NA if Cylinder 2.2>Ud>1.8
'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH 1 COMMENTS:;THE TWO SAMPLE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
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AUTHORIZED SIGNATURE
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TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#1
CAST DATE 9/26/13 DESCRIPTION Comets Grout Mortar Shotcrate Masonry Prism Other
CONTRACTOR Hale SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 5-in.
MIX DESIGN NO. HRC06047 TOTAL YARDS NR AIR(0173) NR
(C231)
TICKET NUMBER 1222000617 CAST I MIX TIME 6:25am/5:26am AIR/CONC 57F/75F
TEMP(C1064)
LOCATION OF POUR Set#1:Column Pad 5-D
NOTES NR=Not Reported
Aft
Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
DATE SPECIMENS RECVD. 9/27/13 EQUIPMENT USED F8
REPORT DATE 10/3/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.I RECAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.' AREA LOAD F'c BREAK
TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE'
NUMBER (DAYS) TEST TEST IN. IN. IN. IN.
42190.1.1 7 10/3/13 5:40 AM 6.00 6.00 NA NA 28.27 109,010 3,855 4
42190.1.2 28 10/24/13
42190.1.3 28 10/24/13
Avg.F'c28= #DIV/0l
'Test Schedule Provided by the Client
Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>I/d>1.8
'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH I COMMENTS:FOR INFORMATION ONLY.
.,,.•. j l
AUTHORIZED SIGNATURE
Papa 1 of 1 MT.oF-001
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TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: 800-043-327 FIELD IDENTIFICATION: Set#2
CAST DATE 9/26/13 DESCRIPTION Concrete Grout Mortar Shotcrele Masonry Prism Other
CONTRACTOR Hale SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 5.1/4-in.
MIX DESIGN NO. HRC06047 TOTAL YARDS NR AIR(C173) NR
(C231)
TICKET NUMBER 122000635 CAST!MIX TIME 8:07am/7:20am AIRICONC 59F/77F
TEMP(C1064)
LOCATION OF POUR Set#2:Column Pad 6-C
NOTES NR=Not Reported
Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
DATE SPECIMENS RECVD. 9/27/13 EQUIPMENT USED F8
REPORT DATE 10/24/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.I RECAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN? AREA LOAD Pc BREAK
TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE°
NUMBER
(DAYS)1 TEST TEST IN. IN. IN. IN.
42190.2.1 7 10/3/13 5:43 AM 6.00 6.00 NA NA 28.27 104,110 3,682 3
42190.2.2 28 10/24/13 6:05 AM 6.00 6.00 NA NA 28.27 131,260 4,642 3
42190.2.3 28 10/24/13 6:20 AM 6.00 6.00 NA NA 28.27 125,550 4,440 3
Avg.F'c28= 4,541
'Test Schedule Provided by the Client
2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>I/d>1.8
°Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH!COMMENTS:T. TWO SAMPLE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
- .
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AUTHORIZED SIGNATURE
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TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#2
CAST DATE 9/26/13 DESCRIPTION Concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hale SPECIFIED F'c•PSI 4,000 CEMENT TYPE II/V
CONC.SUPPUER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 5-1/4-in.
MIX DESIGN NO. HRC06047 TOTAL YARDS NR AIR(0173) NR
(C231)
TICKET NUMBER 122000835 CAST/MIX TIME 8:07am/7:20am AIRICONC 59F/77F
TEMP(C1084)
LOCATION OF POUR Set#2:Column Pad 6-C
NOTES NR=Not Reported
Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
DATE SPECIMENS RECVD. 9/27/13 EQUIPMENT USED F8
REPORT DATE 10/3/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.f RECAL.DATE 12/12-12/13
AGE AT DATE TIME SPECIMEN DIMENSIONS•IN.2 AREA LOAD F'c BREAK
SPECIMEN IDENTIFICATION TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE'
NUMBER (DAYS)1 TEST TEST IN. IN. IN. IN.
42190.2.1 7 10/3/13 5:43 AM 6.00 6.00 NA NA 28.27 104,110 3,682 3
42190.2.2 28 10/24/13
42190.2.3 28 10/24/13
Avg.F'c28= #DIV/01
'Test Schedule Provided by the Client
2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>I/d>1.8
'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH f COMME -:FOR INFORMATION ONLY.
/ .'
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AUTHORIZED SIGNATURE
Pp.1 ell MT-OF-001
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TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#3
CAST DATE 9/26/13 DESCRIPTION ConcreI2 Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hale SPECIFIED F'c-PSI 4,000 CEMENT TYPE II l V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 5-1/4-in.
MIX DESIGN NO. HRC06047 TOTAL YARDS NR AIR(C173) NR
(0231)
TICKET NUMBER 122000653 CAST!MIX TIME 10:32am/9:18am AIRICONC 64F/81 F
TEMP(C1064)
LOCATION OF POUR Set#3:Footing at Grid Line 7.8/D.5
NOTES NR=Not Reported
OM. Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
DATE SPECIMENS RECVD. 9/27/13 EQUIPMENT USED F8
REPORT DATE 10/24/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.I RECAL.DATE 12/12-12/13
AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.2 AREA LOAD Pc BREAK
SPECIMEN IDENTIFICATION TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE'
NUMBER (DAYS)/ TEST TEST IN. IN. IN. IN.
42190.3.1 7 10/3/13 5:46 AM 6.00 8.00 NA NA 28.27 99,010 3,502 3
42190.3.2 28 10/24/13 6:23 AM 6.00 6.00 NA NA 28.27 138,060 4,883 3
42190.3.3 28 10/24/13 6:17 AM 6.00 6.00 NA NA 28.27 139,530 4,935 3
Avg.Pc2a= 4,909
'Test Schedule Provided by the Client
2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>lid>1.8
'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH 1 COMMEt`NT:5 THE-TWO SAMPLE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
,
7(UTRORIZED SIGNATURE
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TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#3
CAST DATE 9/26/13 DESCRIPTION Concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hale SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 5-1/4-in.
MIX DESIGN NO. HRC06047 TOTAL YARDS NR AIR(C173) NR
(C231)
TICKET NUMBER 122000653 CAST/MIX TIME 10:32am/9:18am AIR/CONC 64F/81 F
TEMP(C1084)
LOCATION OF POUR Set#3:Footing at Grid Line 7.8/D.5
NOTES NR=Not Reported
Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
DATE SPECIMENS RECVD. 9/27/13 EQUIPMENT USED _F8
REPORT DATE 10/3/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB./RECAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-M.2 AREA LOAD FCC BREAK
NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE°
(DAYS)1 TEST TEST IN. IN. IN. IN.
42190.3.1 7 10/3/13 5:46 AM 6.00 6.00 NA NA 28.27 99,010 3,502 3
42190.3.2 28 10/24/13
42190.3.3 28 10/24/13
Avg.F'c28= #DIV/01
'Test Schedule Provided by the Client
Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>lid>1 8
Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH!COMMENTS:FOR INFORMATION ONLY.
/b.
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AUTHORIZED SIGNATURE fir-
pOO t er t MT-OF-001
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TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#4
CAST DATE 9/26/13 DESCRIPTION Concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hale SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 5-in.
MIX DESIGN NO. HRC06047 TOTAL YARDS NR AIR(C173) NR
(C231)
TICKET NUMBER 122000675 CAST/MIX TIME 12:30pm/11:42am AIR/CONC 73F/79F
TEMP(C1064)
LOCATION OF POUR Set#4:Footing at Grid E/4
NOTES NR=Not Reported
-w.. Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
DATE SPECIMENS RECVD. 9/27/13 EQUIPMENT USED F8
REPORT DATE 10/24/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.I REGAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN? AREA LOAD Pc BREAK
TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE'
NUMBER (DAYS)1 TEST TEST IN. IN. IN. IN.
42190.4.1 7 10/3/13 5:49 AM 6.00 6.00 NA NA 28.27 105,380 3,727 3
42190.4.2 28 10/24/13 6:14 AM 6.00 6.00 NA NA 28.27 138,730 4,907 3
42190.4.3 28 10/24/13 6:08 AM 6.00 6.00 NA NA 28.27 125,360 4,434 3
Avg.Pc28= 4,670
tTesl Schedule Provided by the Client
Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>I/d>1.8
'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH/COMMENTS:T 010 SAMPLE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
a . -
AUTHORIZED SIGNATURE J
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TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#4
CAST DATE 9/26/13 DESCRIPTION Concrete Grout Mortar Shotcrele Masonry Prism Other
CONTRACTOR Hale SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 5-in.
MIX DESIGN NO. HRC06047 TOTAL YARDS NR AIR(C173) NR
(C231)
TICKET NUMBER 122000675 CAST/MIX TIME 12:30pm/11:42am AIR/CONC 73F/79F
TEMP(C1064)
LOCATION OF POUR Set#4:Footing at Grid E/4
NOTES NR=Not Reported
all.
Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
DATE SPECIMENS RECVD. 9/27/13 EQUIPMENT USED f8
REPORT DATE 10/3/13 SN OF EQUIPMENT 99109
TECHNICIAN On File CALIB./RECAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.' AREA LOAD F'c BREAK
NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE'
(DAYS)1 TEST TEST IN. IN. IN. IN.
42190,4.1 7 10/3/13 5:49 AM 6.00 6.00 NA NA 28.27 105,380 3,727 3
42190.4.2 28 10/24/13
42190.4.3 28 10/24/13
Avg.F'c28= #DIV/Ot
'Test Schedule Provided by the Client
'Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>I/d>1.8
'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTHH/COMMENTS:F ,R-INFORMATION ONLY.
.es■
' AUTHORIZED SIGNATURE /
/ - Pepe 1 of 1 MT-OF-001
J 6-12 V8
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TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#5
CAST DATE 9/26/13 DESCRIPTION concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hale SPECIFIED F'c•PSI 4,000 CEMENT TYPE II/V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 5-in.
MIX DESIGN NO. HRC06047 TOTAL YARDS NR AIR(C173) NR(0231)
TICKET NUMBER 1222000695 CAST/MIX TIME 2:29pm!1:44pm AIRICONC 75F/82F
LOCATION OF POUR Set#5:Footing at Grid 1.1/D.7
NOTES NR=Not Reported
Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
DATE SPECIMENS RECVD. 9/27/13 EQUIPMENT USED F8
REPORT DATE 10/24/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB./RECAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN 2 AREA LOAD F'c BREAK
TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE'
NUMBER (DAYS)' TEST TEST IN. IN. IN. IN.
42190.5.1 7 10/3/13 5:52 AM 6.00 6.00 NA NA 28.27 97,890 3,462 4
42190.5.2 28 10/24/13 5:50 AM 6.00 6.00 NA NA 28.27 134,510 4,757 3
42190.5.3 28 10/24/13 5:53 AM 6.00 6.00 NA NA 28.27 141,340 4,999 3
Avg.Fc28= 4,878
'Test Schedule Provided by the Client
'Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>lid>1.6
3Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH 1 COMMENTS:THE TWO SAMPLE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
AUTHORIZED SIGNATURE
jjj 1 Ppe 1 Or 1 MT-OF-001
6.12 V8
emu. ■ mnim..■■.■.■.m....■..■.■■.r. ■R■■
mr.7 - '-7r=lnlnr•rt_ i _r—w_ .J"_t. i-u uw_7
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11610 Pioneer:au ever. Su to • •nta e •rims, ahfomia 91671. 5.2 '0 -013 • ax(62 9I3. 5 4 ACCREDITED —
En
TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#5
CAST DATE 9/26/13 DESCRIPTION concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hale SPECIFIED F'c•PSI 4,000 CEMENT TYPE II/V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 5-in.
MIX DESIGN NO. HRC06047 TOTAL YARDS NR AIR(C173) NR
(C231I
TICKET NUMBER 1222000695 CAST I MIX TIME 2:29pm/1:44pm AIR/CONC 75F/82F
TEMP(C1064)
LOCATION OF POUR Set#5:Footing at Grid 1.1/D.7
NOTES NR=Not Reported
Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
DATE SPECIMENS RECVD. 9/27/13 EQUIPMENT USED F8
REPORT DATE 10/3/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.I RECAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.2 AREA LOAD F'c BREAK
NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE'
(DAYS)' TEST TEST IN. IN. IN. IN.
42190.5.1 7 10/3/13 5:52 AM 6.00 6.00 NA NA 28.27 97,890 3,462 4
42190.5.2 28 10/24/13
42190.5.3 28 10/24/13
Avg.F'c28= #DIV/01
'Test Schedule Provided by the Client
Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>lId>1.8
'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE,WITH SPECIFIED STRENGTH f COMMIFITS:FOR INFORMATION ONLY.
, -
jimmy.
AUTHORIZED SIGNATURE• r
Pegs 1 or 1 MT-OF-001
6-12 V8
■ P-.1�1�ar.ormirwilrz-z=r-110_�rJ-_t-i11- rr_�
• �.m ' ii •7 a. II 1 ■ II ■►,■ -I 1 111 ■ •I,`NI i■ I ,' I r-I
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�M�Rrio���II���II�NI��I♦�NIIIl• • • -III x( • ACCREDITED 1.11 •ioneer r ou evar• trite • ants e vines, •I ornia'I. I •I -I I • ax( •1 -
IllllllIIIIIIllllllllillllllll Hill ! � llll111 -TTIT
TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-04-327 FIELD IDENTIFICATION: NR
CAST DATE 9/27/13 DESCRIPTION Concretg Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hale Medical Center SPECIFIED F'c-PSI 5,000 CEMENT TYPE II/V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 4-3/4-in.
MIX DESIGN NO. HRC05064 TOTAL YARDS NR AIR(C173) NR
(C 231)
TICKET NUMBER 122000726 CAST I MIX TIME 12:43pm/11:41 am AIR/CONC 77F/81F
TEMP(C1084)
LOCATION OF POUR Elevator Pit Walls
NOTES NR=Not Reported
Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
DATE SPECIMENS RECVD. 10/2/13 EQUIPMENT USED F8
REPORT DATE 10/25/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.I RECAL.DATE 12/12-12/13
AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.2 AREA LOAD F'c BREAK
SPECIMEN IDENTIFICATION TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPES
NUMBER (DAYS)' TEST TEST IN. IN. IN. IN.
42249.1.1 7 10/4/13 5:40 AM 4.00 4.00 NA NA 12.57 64,190 5,108 3
42249.1.2 28 10/25/13 5:15 AM 4.00 4.00 NA NA 12.57 80,650 6,418 3
42249.1.3 28 10/25/13 5:18 AM 4.00 4.00 NA NA 12.57 82,010 6,526 3
Avg.F'c28= 6,472
'Test Schedule Provided by the Client
Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>lId>1.8
'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH/COMMENTS,THE.TWO SAMPLE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
/--
AUTHORIZED SIGNATURE /
/ Papa t ell NT-OF-001
6-12 Va
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.r.. r■.1■I�IItl�rirr1l...hillii.Ii.lir.il ......■tilrlr.l.■ , Qi
11.10'ioneer:ou evar• Suite • anta e pnngs, ali ornia.C67I•(5.21'0 -013 • ax( 6 '413. 5 4 'ACCREDITED—
JillIl1111I1IIIIII ii II111IIH III 11 , 1I1111I Ill /
TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-04-327 FIELD IDENTIFICATION: NR
CAST DATE 9/27/13 DESCRIPTION concrettt Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hale Medical Center SPECIFIED F'c-PSI 5,000 CEMENT TYPE II/V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 4-3/4-in.
MIX DESIGN NO. HRC05064 TOTAL YARDS NR AIR(0173) NR
(0231)
TICKET NUMBER 122000726 CAST/MIX TIME 12:43pm/11:41 am AIR/CONC 77F/81 F
TEMP(C1064)
LOCATION OF POUR Elevator Pit Walls
NOTES NR=Not Reported
*a. Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39
DATE SPECIMENS RECVD. 10/2/13 EQUIPMENT USED F8
REPORT DATE 10/4/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB./RECAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.' AREA LOAD Pc BREAK
NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE'
(DAYS)1 TEST TEST IN. IN, IN. IN.
42249.1.1 7 10/4/13 5:40 AM 4.00 4.00 NA NA 12.57 64,190 5,108 3
42249.1.2 28 10/25/13
42249.1.3 28 10/25/13
Avg.F'c28= #DIV/01
'Test Schedule Provided by the Client
2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>lid>1.8
'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH I COMMENTS:FOR INFORMATION ONLY.
f/
AUTHORIZED SIGNATURE f/
Pp.1 of 1 MT-0F-001
i(.( 6-12 Ve
r.1.17.3r-inv-r-ir>c_z_rTIr-3.3-_z-1->t-7rr_l s. _
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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 r 1 A 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1
TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#1
CAST DATE 10/15/13 DESCRIPTION Concrete a Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hale SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 4-3/4-in.
MIX DESIGN NO. HRC05003 TOTAL YARDS NR AIR(0173) NR
(C231)
TICKET NUMBER 122000883 CAST!MIX TIME 6:24am/5:35am AIRICONC 57F/78F
TEMP(C1064)
LOCATION OF POUR Set#1:Slab-on-Grade at Grid 7.8/B.3
NOTES NR=Not Reported
Results relate only to the tested specimens.
LABORATORY COMPRESSWE STRENGTH DATA PER ASTM C 39,C 511,C 617
DATE SPECIMENS RECVD. 10/17/13 EQUIPMENT USED _F8
REPORT DATE 11/12/13 SN OF EQUIPMENT 99108
y
TECHNICIAN On File CALIB.!RECAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.2 AREA LOAD F'c BREAK
NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE
(DAYS)1 TEST TEST IN. IN. IN. IN.
42560.1,1 7 10/22/13 5:52 AM 4.00 4.01 NA NA 12.60 62,940 4,996 4
42560.1.2 28 11/12/13 7:47 AM 4.00 4.00 NA NA 12.57 73,510 5,850 3
42560.1.3 28 11/12/13 10:43 AM 4.00 4.00 NA NA 12.57 75,260 5,989 3
Avg.F'c26= 5,919
'Test Schedule Provided by the Client
Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>lid>1.8
'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH!COMMENTS:THE TWO SAMPLE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
A •RIZED SIGNATURE
i
Page 1 011 MT-OF-001
V', 10-13 V9
NMI ■•••r.1.1n3107:7nw 11.7ri=7=t_\■_JrJ-_ EA.r_i r_i11111a■•1111111• .....� ■
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■u.11••a•1■1assUua■a■sa•••■••••■••■■.•■ ■••••I■�•■11•••••• •
IIII�II'ioneer;Du evarl utte • anta e • ms, aIOma'I• I• 'I II • 'I �, A it I
TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#1
CAST DATE 10/15/13 DESCRIPTION Concretq Grout Mortar Shotcrete Masonry Prism Other
^
CONTRACTOR Hale SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 4-3/4-in.
MIX DESIGN NO. HRC05003 TOTAL YARDS NR AIR(0173) NR
(0231)
TICKET NUMBER 122000883 CAST f MIX TIME 6:24am/5:35am AIR/CONC 57F/78F
TEMP(C1084)
LOCATION OF POUR Set#1:Slab-on-Grade at Grid 7.8/B.3
NOTES NR=Not Reported
411' Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39,C 511,C 617
DATE SPECIMENS RECVD. 10/17/13 EQUIPMENT USED F8
REPORT DATE 10/22/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB./RECAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN? AREA LOAD F'c BREAK
NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPES
(DAYS)1 TEST TEST IN. IN. IN. IN.
42560.1.1 7 10/22/13 5:52 AM 4.00 4.01 NA NA 12.60 62,940 4,996 4
42560.1.2 28 11/12/13
42560.1.3 28 11/12/13
Avg.F'c28= #DIV/0)
'Test Schedule Provided by the Client
'Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>lid>1.8
'Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH I COMMENTS:FOR INFORMATION ONLY.
.4.. \ , .,./.
AUTHORIZED SIGNATU''
Page 1 o13 MT-OF-001
10-13 V9
1ii1tItIi1tiii[i1 'Tc1 * r~ _
.I.r■i...„... .....ii.iilir.iir111.lill�r■r■ IaCa�r✓
IRO''oneer:•u evan Su to • anta a ppnn qs, alifomia 9(671• 5.2 'I -1031• ax(62 '13- 5 4 AccasorrED
' I1IIIIIIIIIIIIIIIII11iiIIIII 11111111 1111111 _ 1111
TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#2
CAST DATE 10/15/13 DESCRIPTION Concret` Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hale SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 5-in.
MIX DESIGN NO. HRC05003 TOTAL YARDS NR AIR(C173) NR
(C231)
TICKET NUMBER 122000895 CAST I MIX TIME 7:59am/7:10am AIRICONC 59F/77F
TEMP(C1064)
LOCATION OF POUR Set#2:Slab-on-Grade at Grid 5.5/D
NOTES NR=Not Reported
Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39,C 511,C 617
DATE SPECIMENS RECVD. 10/17/13 EQUIPMENT USED F8
REPORT DATE 11/12/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.I RECAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.' AREA LOAD F'c BREAK
NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPES
(DAYS)1 TEST TEST IN. IN. IN. IN.
42560.2.1 7 10/22/13 6:13 AM 4.00 4.01 NA NA 12.60 59,340 4,710 3
42560.2.2 28 11/12/13 7:05 AM 4.00 4.00 NA NA 12.57 71,220 5,668 3
42560.2.3 28 11/12/13 7:23 AM 4.00 4.00 NA NA 12.57 73,030 5,812 3
Avg.Pc28= 5,740
'Test Schedule Provided by the Client
'Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>Vd>1.8
3Break Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH/COMMENTS:THE TWO SAMPLE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
AUTHPRIZED SIG ATURE
` / / / Pap.1 o11 MT-OF-001
0-13 W
■/////■/au■//U/■■//// ■//■■/.///////m■/r/■/r///�■//
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1 I 0 II •taneer toe evar. uite • anta e .rin•s, •I ernia'I. I• • 'I •II • aX( • '1 - II a..
TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJECT AND CAST DATA(PERFORMED BY OTHERS AND NOT VERIFIED BY LAB)
PROJECT NAME: Hale Medical Center INSPECTION FIRM OR CLIENT:Structural Observation Group,Inc.
PROJECT ADDRESS: 289 West Huntington Drive INSPECTOR'S NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#2
CAST DATE 10/15/13 DESCRIPTION Concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hale SPECIFIED F'c-PSI 4,000 CEMENT TYPE II/V
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP IC143) 5-in.
MIX DESIGN NO. HRC05003 TOTAL YARDS NR AIR(C173) NR
(0231)
TICKET NUMBER 122000895 CAST/MIX TIME 7:59am/7:10am AIRICONC 59F/77F
TEMP(C1064)
LOCATION OF POUR Set#2:Slab-on-Grade at Grid 5.5/D
NOTES NR=Not Reported
Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39,C 611,C 617
DATE SPECIMENS RECVD. 10/17/13 EQUIPMENT USED F8
REPORT DATE 10/22/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.I REGAL.DATE 12/12-12/13
AGE AT DATE TIME SPECIMEN DIMENSIONS-IN? AREA LOAD F'c BREAK
SPECIMEN IDENTIFICATION TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE°
NUMBER
(DAYS)1 TEST TEST IN. IN. IN. IN.
42560.2.1 7 10/22/13 6:13 AM 4.00 4.01 NA NA 12.60 59,340 4,710 3
42560.2.2 28 11/12/13
42560.2.3 28 11/12/13
Avg.F'c28= #DIV/01
'Test Schedule Provided by the Client
2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height:NA if Cylinder 2.2>I/d>1.8
BBreak Type Designation Per ASTM C39 Figure 2: 1=Cone, 2=Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH 1 COMMENTS-FOR INFORMATION ONLY.
AUTHORIZED SIGNATURE
Pap 1 of 1 MT-OF-001
10-13 V9