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Sample Record for 2024-10-02-92

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

Project Information

Project ID: 994744 DEA: 072XG504 EFIS: 0723000149 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-66.3/67.3
Work Description:
Location Description:
Contractor Name: Powell Constructors Inc
Contractor Address: Unknown
Resident Engineer: Ridwan Salman Structure Rep.: Torch Rivera

Sample Information

DIME Sample ID: 2024-10-02-92
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Concrete
Sample Taken Date: 10/02/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/02/2024
The quantity of what the sample constitutes: 51 CY
A brief description of the sample: ISR-RSC Beams
From where was the sample collected: Job Site
Laboratory sample identification: 24-3078
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Short Load Concrete

Material Information

The concrete mix design number: CTS-65-EHI
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Truck Chute
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: 2024-10-02-92-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 10/12/2024
Date Tested: 10/12/2024
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test: SB Rte. 5 @ Templin HWY
Test Result Compliance:
Additional Comments When Verified:
Number of specimens 3
Does the testing machine measure load or stress on the beam specimen? Load
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 10 days
Modulus of rupture 850 psi
Modulus of rupture average 890 psi
Modulus of rupture 2 930 psi
Modulus of rupture 3 880 psi