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Sample Record for 2024-10-04-6

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

Project Information

Project ID: 1000017 DEA: 042Q7004 EFIS: 0419000040 QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-4-L0.0/R14.3
Work Description: REPLACE ASPHALT CONCRETE SURFACING AND INSTALL MGS.
Location Description: CONTRA COSTA COUNTY IN HERCULES AND CONCORD FROM SAN PABLO AVENUE TO ROUTE 4/242 SEPARATION
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: Unknown
Resident Engineer: Rabindra Mukherjee Structure Rep.: John K. Parecadan

Sample Information

DIME Sample ID: 2024-10-04-6
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/04/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/04/2024
The quantity of what the sample constitutes: 250 cy
A brief description of the sample: PCC Beam testing 3 hour test
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vanguard mobile plant # 887 Martinez

Material Information

The concrete mix design number: HE4X4BM
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 4752
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: At job site from the transportation truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2024-10-04-6-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 10/04/2024
Date Tested: 10/04/2024
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test: Spec min 400 PSI
Test Result Compliance: does not comply
Additional Comments When Verified:
Number of specimens 3
Does the testing machine measure load or stress on the beam specimen? Stress
Fracture initiates in the tension surface Within the Middle Third of the Span Length
Fracture occurred at a capped section No
Is a beam dimensional correction factor used? Yes
Age of specimen no data0 days
Modulus of rupture 150 psi
Modulus of rupture average 150 psi
Modulus of rupture 2 150 psi
Modulus of rupture 3 150 psi