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Sample Record for 2025-09-16-133

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

Project Information

Project ID: 1000501 DEA: 081J6104 EFIS: 0818000102 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-215-40.5/42.7
Work Description: INDIVIDUAL SLAB REPLACEMENT (RSC), RHMA, AND REPLACE BASE.
Location Description: RIVERSIDE COUNTY IN RIVERSIDE FROM 0.8 MILE SOUTH OF ROUTE 60/91 SEPARATION TO 0.4 MILE SOUTH OF MARTIN LUTHER KING BOULEVARD UNDERCROSSING
Contractor Name: FBD VANGUARD CONSTRUCTION, INC.
Contractor Address: 550 Greenville Rd., Livermore, CA
Resident Engineer: Mahfual Alam Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-09-16-133
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/16/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/17/2025
The quantity of what the sample constitutes: 2 Sets of 3 - 6X6X21 Rapid Set Concrete Beams
A brief description of the sample: Set 1 Fabricated @ 21:28(9/16); Set 2 Fabricated @ 00:05(9/17)
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vanguard

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: 1
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:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-09-16-133-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 01/27/2026
Date Tested: 09/20/2025
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 #19-1
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 4 days
Modulus of rupture 710 psi
Modulus of rupture 2 810 psi
Modulus of rupture average 760 psi
Modulus of rupture 3 770 psi

Test 2 of 2

DIME Test ID: 2025-09-16-133-2
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 01/27/2026
Date Tested: 09/20/2025
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 #19-2
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 3 days
Modulus of rupture 840 psi
Modulus of rupture 2 850 psi
Modulus of rupture average 820 psi
Modulus of rupture 3 780 psi