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Sample Record for 2024-11-19-33

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

Project Information

Project ID: 1000286 DEA: 070W7004 EFIS: 0723000032 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-405-44.7/48.64
Work Description: INDIVIDUAL SLAB REPLACEMENT (RSC), & GRIND EXIST CONC PAVEMENT.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM NORDHOFF STREET UNDERCROSSING TO ROUTE 5/405 SEPARATION
Contractor Name: Interstate Civil Construction
Contractor Address: PO Box 2819, Wrightwood, CA 92397
Resident Engineer: ALI MOHSENZADEH Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-11-19-33
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: 11/19/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/19/2024
The quantity of what the sample constitutes: 200 cy
A brief description of the sample: Route 405 NB
From where was the sample collected: Job Site
Laboratory sample identification: 24-3588
Structure unique identifier:
Structure name: Route 405 NB
The fabricator/manufacturer/facility name: Contractor

Material Information

The concrete mix design number: CTS-65-EHI
The truck number from where the sample was collected: 1
The batch plant ticket number from where the sample was collected: Short Load Concrete
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Job site
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: 2024-11-19-33-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 11/26/2024
Date Tested: 11/22/2024
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: 460 psi at 90 minutes reported to inspector Wudnich Wodtensay
Test Result Compliance: complies
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? No
Age of specimen 3 days
Modulus of rupture 870 psi
Modulus of rupture average 930 psi
Modulus of rupture 2 970 psi
Modulus of rupture 3 960 psi