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Sample Record for 2025-04-23-26

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

Project Information

Project ID: 1001165 DEA: 061H6304 EFIS: 0625000097 QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-6-43.95
Work Description: The scope of work will include culvert replacement, pavement repair, traffic control, and pavement delineation.
Location Description: Fresno County, Rout I-5 at PM 43.95.
Contractor Name: A. TEICHERT & SON INC DBA TEICHERT CONSTRUCTION
Contractor Address: 5771 S. Toyota Ave, Fresno, CA 93725
Resident Engineer: Mark Mengoni Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-04-23-26
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 04/23/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/24/2025
The quantity of what the sample constitutes: Last load placed at site
A brief description of the sample: Rapid Set Concrete Beams
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: On Site Volumetric Truck

Material Information

The concrete mix design number: 2110-007
The truck number from where the sample was collected: 110
The batch plant ticket number from where the sample was collected: 9
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: At jobsite from Volumetric 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: 2025-04-23-26-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 04/28/2025
Date Tested: 04/26/2025
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 1352 W. Olive Ave,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93728
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
General Comments for this Test:
Test Result Compliance: complies
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 3 days
Modulus of rupture 700 psi
Modulus of rupture average 690 psi
Modulus of rupture 2 690 psi
Modulus of rupture 3 680 psi