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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 10/15/13 DESCRIPTION Concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hale SPECIFIED Pc•PSI 4,000 CEMENT TYPE II/V
CONC.SUPPLIER Holiday 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 122000910 CAST!MIX TIME 9:31 am/8:55am AIRlCONC 64F/79F
TEMP(C1064)
LOCATION OF POUR Set#3:Slab-on-Grade at Grid 3.7/C.3
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 11/12/13 SN OF EQUIPMENT 99108
•
TECHNICIAN On File CAUB.I RECAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN.2 AREA LOAD Pc BREAK
NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE'
(DAYS)' TEST TEST IN. IN. IN. IN.
42560.3.1 7 10/22/13 6:07 AM 4.00 4.01 NA NA 12.60 55,350 4,394 3
42560.3.2 28 11/12/13 7:29 AM 4.00 4.00 NA NA 12.57 68,970 5,489 3
42560.3.3 28 11/12/13 7:26 AM 4.00 4.00 NA NA 12.57 70,510 5,611 4
Avg.F'c28= 5,550
'Test Schedule Provided by the Client
'Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>1/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:THE TWO SAMPLE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
an.
AUTHORIZED S1GNATUR
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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 INSPECTORS NAME: Scott McGuire
Arcadia,Ca INSPECTORS LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#3
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(C143) 5-in.
MIX DESIGN NO. HRC05003 TOTAL YARDS NR AIR(C173) NR
(C231)
TICKET NUMBER 122000910 CAST/MIX TIME 9:31am/8:55am AIR/CONC 64F/79F
TEMP(C1064)
LOCATION OF POUR Set#3:Slab-on-Grade at Grid 3.7/0.3
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 10/22/13 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
NUMBER TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPES
(DAYS)1 TEST TEST IN. IN. IN. IN.
42560.3.1 7 10/22/13 6:07 AM 4.00 4.01 NA NA 12.60 55,350 4,394 3
42560.3.2 28 11/12/13
42560.3.3 28 11/12/13
Avg.F'c26= #DIV/01
'Test Schedule Provided by the Client
Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>lid>1.6
'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!COMMEN,TS. .s:INFORMATION ONLY.
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#4
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(C143) 5-114-in.
MIX DESIGN NO. HRC05003 TOTAL YARDS NR AIR(C173) NR
(C231)
TICKET NUMBER 122000923 CAST f MIX TIME 10:48am/10:05am AIR/CONC 74F/80F
TEMP(C1064)
LOCATION OF POUR Set#4:Slab-on-Grade at Grid F.6/D.4
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 Pc BREAK
TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE°
NUMBER (DAYS)' TEST TEST IN. IN. IN. IN.
42560.4.1 7 10/22/13 6:04 AM 4.00 4.01 NA NA 12.60 55,130 4,376 3
42560.4.2 28 11/12/13 10:55 AM 4.00 4.00 NA NA 12.57 67,800 5,395 3
42560.4.3 28 11/12/13 8:08 AM 4.00 4.00 NA NA 12.57 71,060 5,655 3
Avg.F'c28= 5,525
'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, 8=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH/COMMENTS:THE TWO SAMPLE AVERAGE 28-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
AUTHORIZED SIGNATUR
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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 ARM 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 10/15/13 DESCRIPTION Concrete Grout Mortar Shotcrele Masonry Prism Oilier
CONTRACTOR Hale SPECIFIED Fe-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. HRC05003 TOTAL YARDS NR AIR(0173) NR
(C231)
TICKET NUMBER 122000923 CAST I MIX TIME 10:48am/10:05am AIR/CONC 74F/8OF
TEMP(C1064)
LOCATION OF POUR Set#4:Slab-on-Grade at Grid F.6/D.4
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 10/22/13 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 Pc BREAK
TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE'
NUMBER (DAYS)' TEST TEST IN. IN. IN. IN.
42560.4.1 7 10/22/13 6:04 AM 4.00 4.01 NA NA 12.60 55,130 4,376 3
42560.4.2 28 11/12/13
42560.4.3 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>1//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 CQMM5NTS:/F1/2 INFORMATION ONLY.
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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: NR
CAST DATE 10/24/13 DESCRIPTION Concretg Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hakanson SPECIFIED Pc-PSI 5,000 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. HRCO6017 TOTAL YARDS NR AIR(0173) NR
(C231)
TICKET NUMBER 1220001000 CAST I MIX TIME 3:20pm/2:25pm AIR/CONC 57F/79F
TEMP(C1064)
LOCATION OF POUR Set#1:Panel#6
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. 10/25/13 EQUIPMENT USED F8
REPORT DATE 10/31/13 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 Fc BREAK
TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE'
NUMBER (DAYS)' TEST TEST IN. IN. IN. IN.
42717.1.1 7 10/31/13 3:22 AM 4,00 4.01 NA NA 12.60 67,650 5,370 4
42717.1.2 28 11/21/13
42717.1.3 28 11/21/13
Avg.F'c28= #DIV/01
'Test Schedule Provided by the Client
'Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA it 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.
\ f/
AUTHORIZEDSIGNATUR=7
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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 CUENT: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 10/24/13 DESCRIPTION Concrete, Grout Mortar Shotcreta Masonry Prism Other
CONTRACTOR Hakanson 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) 5-1/4-in.
MIX DESIGN NO. HRCO6017 TOTAL YARDS NR AIR(C173) NR
(C231)
TICKET NUMBER 1220001012 CAST I MIX TIME 4:33am/3:46am AIR/CONC 57F/79F
TEMP(C1064)
LOCATION OF POUR Set#2:Panel#5
NOTES NR=Not Reported
IOW Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39,C 511,C 617
DATE SPECIMENS RECVD. 10/25/13 EQUIPMENT USED F8
REPORT DATE 10/31/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.l 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 TYPES
NUMBER (DAYS)1 TEST TEST IN. IN. IN. IN.
42717.2.1 7 10/31/13 3:25 AM 4.00 4.01 NA NA 12.60 68,420 5,431 3
42717.2.2 28 11/21/13
42717.2.3 28 11/21/13
Avg.Pc28= #DIV/0I
'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
38reak 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 COMMENTSI.FOR INFORMATION ONLY.
/iffir
AUTHORIZED SIGNATURE f
Page 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: 600-043-327 FIELD IDENTIFICATION: Set#5
CAST DATE 10/24/13 DESCRIPTION Concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hakanson 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) 5-1/2-in.
MIX DESIGN NO. HRC06017 TOTAL YARDS NR AIR(C173) NR(C231)
CAST/MIX TIME 10:13am/9:05am AIR/CONC 62F/80F
TICKET NUMBER 122001054 TEMP(C1084)
LOCATION OF POUR Set#5:Panel#20
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. 10/25/13 EQUIPMENT USED F8
REPORT DATE 10/31/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB./RECAL.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.
42717.3.1 7 10/31/13 3:40 AM 4.00 4.01 NA NA 12.60 62,890 4,992 4
42717.3.2 28 11/21/13
42717.3.3 28 11/21/13
Avg.F'c26= #DIV/01
'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:F9R INFORMATION ONLY.
AUTHORIZED SIGNATURE
/ Pair of/ 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: BOO-043-327 FIELD IDENTIFICATION: Set#4
CAST DATE 10/24/13 DESCRIPTION Concrete Grout I Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hakanson SPECIFIED Fe-PSI 5,000 CEMENT TYPE I I/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. HRCO6017 TOTAL YARDS NR AIR(0173) NR(C231)
TICKET NUMBER 122001042 CAST I MIX TIME 8:40am/7:43am AIR/CONC 55F/8OF TEMP(C1064)
LOCATION OF POUR Set#4:Panel#21
NOTES NR=Not Reported
Am. Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39,C 511,C 617
DATE SPECIMENS RECVD. 10/25/13 EQUIPMENT USED F8
REPORT DATE 10/31/13 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
TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE
NUMBER (DAYS)1 TEST TEST IN. IN. IN. IN.
42717.4.1 7 10/31/13 3:31 AM 4.00 4.01 NA NA 12.60 63,130 5,011 3
42717.4.2 28 11/21/13
42717.4.3 28 11/21/13
Avg.F'c28= #DIVIO!
'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.
w
AUTHORIZED SIGNATURE m
Page 1 of 1 MTAF-001
10.13 09
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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 10/24/13 DESCRIPTION concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hakanson SPECIFIED Pc•PSI 5,000 CEMENT TYPE I)/V
CONC.SUPPLIER Holliday CAST BY SCOtt McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 3 SLUMP(C143) 5-In.
MIX DESIGN NO. HRC06017 TOTAL YARDS NR AIR(C173) NR(C231)
CAST/MIX TIME 7:05am/6:03am AIR/CONC 55F/80F
TICKET NUMBER 1220001028 TEMP(C1064)
LOCATION OF POUR Set#3:Pane)#22
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. 10/25/13 EQUIPMENT USED F8
REPORT DATE 10/31/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALM./RECAL.DATE 12/12-12/13
SPECIMEN IDENTIFICATION AGE AT DATE TIME SPECIMEN DIMENSIONS-IN 2 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.
42717.5.1 7 10/31/13 3:28 AM 4.00 4.01 NA NA 12.60 64,110 6,089 3
42717.5.2 28 11/21/13
42717.5.3 28 11/21/13
Avg.F'c28= #DIV/01
'Test Schedule Provided by the Client
2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA it 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.
.—.e/ _ •--ms'"
AUTHORIZED SIGNATURE w "� /
Pegs 1 of 1 MT-Of-CAI
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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 11/1/13 DESCRIPTION Concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hakanson SPECIFIED F'c-PSI 5,000 CEMENT TYPE NR
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 4 SLUMP(C143) 5-1/2-in.
MIX DESIGN NO. HRC06017 TOTAL YARDS NR AIR(C173) NR(C231)
CAST!MIX TIME 3:24am/2:40am AIR/CONC 51F/69F
TICKET NUMBER 122001143 TEMP(C1064)
LOCATION OF POUR Set#1:Panel#12
NOTES NR=Not Reported
OMR. Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39,C 511,C 617
DATE SPECIMENS RECVD. 11/4/13 EQUIPMENT USED F8
REPORT DATE 11/28/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.!REGAL.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.
42865.1.1 7 11/8/13 6:09 AM 4.00 4.00 NA NA 12.57 69,080 5,497 3
42865.1.2 10 11/11/13 7:36 AM 4.00 4.00 NA NA 12.57 77,020 6,129 3
42865.1.3 27 11/28/13 10:33 AM 4.00 4.01 NA NA 12.60 96,340 7,647 2
42865.1.4 27 11/28/13 10:36 AM 4.00 4.01 NA NA 12.60 88,200 7,001 2
Avg.F'c27= 7,324
.1-rest Schedule Provided by the Client
Dimensions 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!COMMEN* HE TWO SAMPLE AVERAGE 27-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
r , .. .
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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 11/1/13 DESCRIPTION Concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hakanson SPECIFIED F'c-PSI 5,000 CEMENT TYPE NR
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 4 SLUMP(C143) 5-1/2-in.
AIR(C173) NR
MIX DESIGN NO. HRC06017 TOTAL YARDS NR (C231)
CAST/MIX TIME 3:24am/2:40am AIR/CONC 51 F/69F
TICKET NUMBER 122001143 TEMP(C1064)
LOCATION OF POUR Set#1:Panel#12
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. 11/4/13 EQUIPMENT USED F8
REPORT DATE 11/11/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB./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)1 TEST TEST IN. IN. IN. IN.
42865.1.1 7 11/8/13 6:09 AM 4.00 4.00 NA NA 12.57 69,080 5,497 3
42865.1.2 10 11/11/13 7:36 AM 4.00 4.00 NA NA 12.57 77,020 6,129 3
42865.1.3 28 11/29/13
42865.1.4 28 11/29/13
Avg.Pc28= #DIV/0I
'Test Schedule Provided by the Client
Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>1/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: = INFORMATION ONLY.
■
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__
AUTHORIZED SIGNATURE
' Pape 1 of 1 MT-OF-001
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IlI11111111II1I111111 11111 . 1 11111111 1111111 T1TT_
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 11/1/13 DESCRIPTION Concrtt` Grout Mortar Shotcrete Masonry Priem Other
CONTRACTOR Hakanson SPECIFIED F'c-PSI 5,000 CEMENT TYPE NR
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 4 SLUMP(C143) 5-1/2-in.
AIR(0173) NR
MIX DESIGN NO. HRC06017 TOTAL YARDS NR (C231)
CAST I MIX TIME 3:24am/2:40am AIR/CONC 51F/69F
TICKET NUMBER 122001143 TEMP(C1064)
LOCATION OF POUR Set#1:Panel#12
NOTES NR=Not Reported
.toor Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39,C 511,C 617
DATE SPECIMENS RECVD. 11/4/13 EQUIPMENT USED F8
REPORT DATE 11/8/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.I RECAL.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 TYPES
NUMBER (DAYS)' TEST TEST IN. IN. IN. IN.
42865.1.1 7 11/8/13 6:09 AM 4.00 4.00 NA NA 12.57 69,080 5,497 3
42865.1.2 10 11/11/13
42865.1.3 28 11/29/13
42865.1.4 28 11/29/13
Avg.F'c2e= #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: •- -INFONMATION ONLY.
<a..
AUTHORaE15 SIGNATURE
/ Page 1 of 1 MT-OF-001
10.13 W
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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 11/1/13 DESCRIPTION Concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hakanson SPECIFIED F'c-PSI 5,000 CEMENT TYPE NR
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 4 SLUMP(C143) 5-1/4-in.
TOTAL YARDS NR AIR(C173) NR
MIX DESIGN NO. HRC06017 (C231)
CAST/MIX TIME 4:41 am/3:48am AIR/CONC 52F/69F
TICKET NUMBER 122001154 TEMP(C1064)
LOCATION OF POUR Set#2:Panel#14
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. 11/4/13 EQUIPMENT USED F8
REPORT DATE 11/28/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB./RECAL.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. .
42865.2.1 7 11/8/13 6:00 AM 4.00 4.00 NA NA 12.57 67,450 5,368 3
42865.2.2 10 11/11/13 7:32 AM 4.00 4.00 NA NA 12.57 77,030 6,130 3
42865.2.3 27 11/28/13 10:18 AM 4.00 4.01 NA NA 12.60 89,050 7,069 2
42865.2.4 27 11/28/13 10:21 AM 4.00 4.01 NA NA 12.60 94,250 7,482 2
Avg.F'c27= 7,275
'Test Schedule Provided by the Client
Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>1/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:THE TWO SAMPLE AVERAGE 27-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
AUTHORIZED SIGNATURE
Ppe I oft IAT-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#2
CAST DATE 11/1/13 DESCRIPTION Sr.lm= Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hakanson SPECIFIED F'c-PSI 5,000 CEMENT TYPE NR
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 4 SLUMP(C143) 5-1/4-in.
TOTAL YARDS NR AIR(C173) NR
MIX DESIGN NO. HRC06017 (C231)
CAST 1 MIX TIME 4:41 am/3:48am AIR/CONC 52F/69F
TICKET NUMBER 122001154 TEMP(C1064)
LOCATION OF POUR Set#2:Panel#14
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. 11/4/13 EQUIPMENT USED F8
REPORT DATE 11/11/13 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.
42865.2.1 7 11/8/13 6:00 AM 4.00 4.00 NA NA 12.57 67,450 5,368 3
42865.2.2 10 11/11/13 7:32 AM 4.00 4.00 NA NA 12.57 77,030 6,130 3
42865.2.3 28 11/29/13
42865.2.4 28 11/29/13
Avg.F'c28= #DIV/0I
'Test Schedule Provided by the Client
'Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>IId>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/CQMMEN . ' 17FORMATION ONLY.
..f// ;/�--- ------_ ��
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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 INSPECTORS NAME: Scott McGuire
Arcadia,Ca INSPECTOR'S LICENSE NO.: On File
PERMIT NUMBER: B00-043-327 FIELD IDENTIFICATION: Set#2
CAST DATE 11/1/13 DESCRIPTION goncret` Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hakanson SPECIFIED F'c-PSI 5,000 CEMENT TYPE NR
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 4 SLUMP(C143) 5-1/4-in.
AIR(C173) NR
MIX DESIGN NO. HRC06017 TOTAL YARDS NR (C231)
CAST/MIX TIME 4:41 am/3:48am AIR/CONC 52F/69F
TICKET NUMBER 122001154 TEMP(C1064)
LOCATION OF POUR Set#2:Panel#14
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. 11/4/13 EQUIPMENT USED F8
REPORT DATE 11/8/13 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
TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPE°
NUMBER (DAYS)1 TEST TEST IN. IN. IN. IN.
42865.2.1 7 11/8/13 6:00 AM 4.00 4.00 NA NA 12.57 67,450 5,368 3
42865.2.2 10 11/11/13
42865.2.3 28 11/29/13
42865.2.4 28 11/29/13
Avg.F'c=s= #DIVI01
'Test Schedule Provided by the Client
Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Haight;NA If Cylinder 2.2>lid>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 I COMME :FO'IAFfORMATION ONLY.
' --.-----.
■• -
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Page 1 of 1 MT-OF.001
10-13 V9
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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 11/1/13 DESCRIPTION Concrete Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hakanson SPECIFIED F'c-PSI 5,000 CEMENT TYPE NR
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 4 SLUMP(C143) 5-3/4-in.
AIR(C173) NR
MIX DESIGN NO. HRC06017 TOTAL YARDS NR (C231)
CAST I MIX TIME 6:06am I AIR/CONC 51 F/68F
TICKET NUMBER 122001168 TEMP(C1084)
LOCATION OF POUR Set#3:Panel#18
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. 11/4/13 EQUIPMENT USED F8
REPORT DATE 11/28/13 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 TYPE'
NUMBER (DAYS)' TEST TEST IN. IN. IN. IN.
42865.3.1 7 11/8/13 6:03 AM 4.00 4.00 NA NA 12.57 65,740 5,231 3
42865.3.2 10 11/11/13 7:30 AM 4.00 4.00 NA NA 12.57 73,110 5,818 3
42865.3.3 27 11/28/13 12:19 PM 4.00 4.01 NA NA 12.60 80,740 6,409 4
42865.3.4 27 11/28/13 12:22 PM 4.00 4.01 NA NA 12.60 80,130 6,361 4
Avg.F'c27= 6,385
'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, 22 Cone and Crack, 3=Columnar, 4=Diagonal, 5=Side Fracture, 6=Side Fracture Point
COMPLIANCE WITH SPECIFIED STRENGTH 1 COMMENT,ThIE TWO SAMPLE AVERAGE 27-DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
r
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AUTHORIZED SIGNATO`
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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 11/1/13 DESCRIPTION goncret! Grout Mortar Shotcrate Masonry Prism Other
CONTRACTOR Hakanson SPECIFIED F'c-PSI 5,000 CEMENT TYPE NR
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 4 SLUMP(C143) 5-3/4-in.
AIR(C173) NR
MIX DESIGN NO. HRC06017 TOTAL YARDS NR (C231)
CAST I MIX TIME 6:06am/5:22am AIR/CONC 51F/68F
TICKET NUMBER 122001168 TEMP(C1064)
LOCATION OF POUR Set#3:Panel#18
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. 11/4/13 EQUIPMENT USED F8
REPORT DATE 11/11/13 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)1 TEST TEST IN. IN. IN. IN.
42865.3.1 7 11/8/13 6:03 AM 4.00 4.00 NA NA 12.57 65,740 5,231 3
42865.3.2 10 11/11/13 7:30 AM 4.00 4.00 NA NA 12.57 73,110 5,818 3
42865.3.3 28 11/29/13
42865.3.4 28 11/29/13
Avg.F'c2s= #DIV/01
'Test Schedule Provided by the Client
2Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>Ud>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/COMMENTS:-Fop INFr MATION ONLY.
//
AUTHORIZED SIGNATURE
MT-OF-0O1
Papa/o,1 1613 V9
MEM r.-i-1;fir_1117 7/-1E I=r—\�7-7'_T�7—` llr_1
■■MS L \ ' A 7 1■1 I■ 1 ■ ■I ■i ,■ '1 i 1M111 • '7,'111 ■ ■ 1 t r-1 ,
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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 11/1/13 DESCRIPTION goncrets Grout Mortar Shotcrete Masonry Prism Other
CONTRACTOR Hakanson SPECIFIED F'c-PSI 5,000 CEMENT TYPE NR
CONC.SUPPLIER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 4 SLUMP(C143) 5-3/4-in.
AIR(C173) NR
MIX DESIGN NO. HRC06017 TOTAL YARDS NR (C231)
CAST/MIX TIME 6:06am/5:22am AIRICONC 51 F/68F
TICKET NUMBER 122001168 TEMP(C1084)
LOCATION OF POUR Set#3:Panel#18
NOTES NR=Not Reported
„M. Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39,C 511,C 617
DATE SPECIMENS RECVD. 11/4/13 EQUIPMENT USED F8
REPORT DATE 11/8/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.l 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.
42865.3.1 7 11/8/13 6:03 AM 4.00 4.00 NA NA 12.57 65,740 5,231 3
42865.3.2 10 11/11/13
42865.3.3 28 11/29/13
42865.3.4 28 11/29/13
Avg.F'c28= #DIV/0I
'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 91116NT$:-T199RMATION ONLY.
AUTI SIGNATURE I" '
j, Page 1 o11 MT-OF-001.{/ 10-13 V9
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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 11/1/13 DESCRIPTION Concrete I Grout I Mortar (Shotcrete Masonry Prism Other
CONTRACTOR Hakanson
SPECIFIED F'c-PSI 5,000 CEMENT TYPE NR
_ —
CONC.SUPPLIER Holliday
CAST BY Scott McGuire ADMIXTURE NR
NO. SAMPLES 4 SLUMP(C143) 5-1/2-in.
PLANT Irwindale AIR(C173) NR
MIX DESIGN NO. HRC06017 TOTAL YARDS NR (C231)
AIR/CONC 53F/72F
TICKET NUMBER 122001179 CAST!MIX TIME 7:28am/6:37am TEMP(C1064)
LOCATION OF POUR Set#4:Panel#11
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. 11/4/13 EQUIPMENT USED F8
REPORT DATE 11/28/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.I RECAL.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 TYPE3
NUMBER (DAYS)1 TEST TEST IN. IN. IN. IN.
42865.4.1 7 11/8/13 6:06 AM 4.00 4.00 NA NA 12.57 66,620 5,302 3
42865.4.2 10 11/11/13 7:34 AM 4.00 4.00 NA NA 12.57 71,420 5,683 3
42865.4.3 27 11/28/13 11:13 AM 4.00 4.01 NA NA 12.60 81,040 6,433 4
42865.4.4 27 11/28/13 11:16 AM 4.00 4.00 NA NA 12.57 75,260 5,989 2
Avg.F'c27= 6,211
1
'Test Schedule Provided by the Client
Dimensions 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!COMMENTS:THEr,.EWO SAMPLE AVERAGE 27•DAY COMPRESSIVE STRENGTH EXCEEDS THE SPECIFIED VALUE.
AUTHORIZED SIGNATURE '-; ''-
%, Poo 1 W 1 MT-OF-001
10.13 MO
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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
11/1/13 DESCRIPTION gskasolis I Grout I Mortar I Shotcrete Masonry Prism Other
CONTRACTOR Hakanson
SPECIFIED F'c-PSI 5,000 CEMENT TYPE NR
CONC.SUPPLIER Holliday
CAST BY Scott McGuire ADMIXTURE NR
NO.OF SAMPLES 4 SLUMP(C143) 5-1/2-in.
PLANT Irwindale AIR(C173) NR
MIX DESIGN NO. HRC06017 TOTAL YARDS NR (C231)
AIRICONC 53F/72F
TICKET NUMBER 122001179 CAST I MIX TIME 7:28am/6:37am TEMP(C1064)
LOCATION OF POUR Set#4:Panel#11
NOTES NR=Not Reported
.e. Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39,C 511,C 617
DATE SPECIMENS RECVD. 11/4/13 EQUIPMENT USED F8
REPORT DATE 11/11/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB./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.
42865.4.1 7 11/8/13 6:06 AM 4.00 4.00 NA NA 12.57 66,620 5,302 3
42865.4.2 10 11/11/13 7:34 AM 4.00 4.00 NA NA 12.57 71,420 5,883 3
42865.4.3 28 11/29/13
42865.4.4 28 11/29/13
Avg.F'c28= #DIV/0I
I
'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 S\CIFIED STRENGTH/C FOR I J,pRMATION ONLY.
/'/*
AUTHORIZED SIGNATURE '
MT-OF-001
Page 1011 10-13 V9
111111•111111 ■ter,.-1 .1r i-11/1.IFL_ =IT1a JT-1 1. 11 1 -_' * `11-
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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 11/1/13 DESCRIPTION concret. Grout Mortar Shotcrete Masonry Priem Other
CONTRACTOR Hakanson SPECIFIED F'c.PSI 5,000 CEMENT TYPE NR
CONC.SUPPUER Holliday CAST BY Scott McGuire ADMIXTURE NR
PLANT Irwindale NO.OF SAMPLES 4 • SLUMP(C143) 5-1/2-in.
AIR(C173) NR
MIX DESIGN NO. HRC08017 TOTAL YARDS NR (C231)
CAST I MIX TIME 7:28am/6:37am AIR/CONC 53F/72F
TICKET NUMBER 122001179 TEMP(C1064)
LOCATION OF POUR Set#4:Panel#11
NOTES NR=Not Reported
«s Results relate only to the tested specimens.
LABORATORY COMPRESSIVE STRENGTH DATA PER ASTM C 39,C 511,C 617
DATE SPECIMENS RECVD. 11/4/13 EQUIPMENT USED F8
REPORT DATE 11/8/13 SN OF EQUIPMENT 99108
TECHNICIAN On File CALIB.I RECAL.DATE 12/12-12/13
AGE AT DATE TIME SPECIMEN DIMENSIONS-IN 3 AREA LOAD F'c BREAK
SPECIMEN IDENTIFICATION TEST OF OF 1 2 3 4 SQ.IN. LBS. PSI TYPES
NUMBER
(DAYS)1 TEST TEST IN. IN. IN. IN.
42865.4.1 7 11/8/13 6:06 AM 4.00 4.00 NA NA 12.57 66,820 5,302 3
42865.4.2 10 11/11/13
42865.4.3 28 11/29/13
42865.4.4 28 11/29/13
1
Avg.F•c28= #DIVIOI
'Test Schedule Provided by the Client
Dimensions 1 and 2=Diameters:Dimensions 3 and 4=Height;NA if Cylinder 2.2>lid>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 IICCOMME[�Il:,�'.FOR INFORMATION ONLY.
AUTHORIZED SIGNATURE
MT-OF-031
Pace t of t 10.13 V9