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Sample Record for 2025-04-23-72

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

Project Information

Project ID: 994588 DEA: 081H3904 EFIS: 0817000032 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-R20.5/R21.6,R25.5/R30.7
Work Description: CONSTRUCT BUILDING, ROADWAY EXC, JPCP, AND TEMPORARY BARRIER SYSTEM.
Location Description: SAN BERNARDINO COUNTY FROM 0.6 MILE NORTH OF CLEGHORN ROAD UNDERCROSSING TO 0.5 MILE SOUTH OF ROUTE 138 AND FROM 0.5 MILE SOUTH OF TRUCK SAFETY CHECK AREA TO 0.4 MILE NORTH OF OAK HILL ROAD OVERCROSSING
Contractor Name: POWELL CONSTRUCTORS INC
Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335
Resident Engineer: Mauricio Santa Cruz Structure Rep.: Oluwatayo (Tayo) Ogeyemi

Sample Information

DIME Sample ID: 2025-04-23-72
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Concrete
Sample Taken Date: 04/23/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/23/2025
The quantity of what the sample constitutes: 1 Set of 3 - 6X6X21 Rapid Set Concrete Beams
A brief description of the sample: #3-2 Fabricated @ 0:45
From where was the sample collected: Job Site
Laboratory sample identification: 3-2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sequoia Consultants

Material Information

The concrete mix design number: CTS-65-EHI
The truck number from where the sample was collected: 78
The batch plant ticket number from where the sample was collected: 50
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of Concrete Truck
Where the material sample would have been placed if not sampled: SB Lane 4 "A" Line Sta 750+40
From Lot No.:
Bag Lot No.:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2025-04-23-72-1
Test Method: CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete
Verified Date: 05/22/2025
Date Tested: 04/23/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Set #3-2
Test Result Compliance:
Additional Comments When Verified:
Ball penetration in freshly mixed concrete (average) 3 inch

Test 2 of 4

DIME Test ID: 2025-04-23-72-2
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 05/22/2025
Date Tested: 04/23/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Set #3-2
Test Result Compliance:
Additional Comments When Verified:
Air Content 1.5 %

Test 3 of 4

DIME Test ID: 2025-04-23-72-3
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 05/22/2025
Date Tested: 04/23/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Set #3-2, CC not included.
Test Result Compliance:
Additional Comments When Verified:
Unit weight of the concrete 149.7 lb/ft^3
Cement content no data0 lb/yd^3

Test 4 of 4

DIME Test ID: 2025-04-23-72-4
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 05/22/2025
Date Tested: 05/03/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Set #3-2
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? No
Age of specimen 10 days
Modulus of rupture 740 psi
Modulus of rupture 2 750 psi
Modulus of rupture average 710 psi
Modulus of rupture 3 650 psi