Sample Record for 2026-03-24-34
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000611 DEA: 120R32U4 EFIS: 1222000054
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-55-0.2/R17.8
Work Description: COLD PLANE, PLACE RHMA, REPLACE CB, SIGNS AND MODIFY LIGHTING SYSTEM.
Location Description: ORANGE COUNTY FROM 0.1 MILE SOUTH OF ROUTE 55/1 SEPARATION IN NEWPORT BEACH TO ROUTE 55/91 SEPARATION IN ANAHEIM
Contractor Name: R.J. NOBLE COMPANY
Contractor Address: 15505 East Lincoln Avenue, Orange, CA 92865
Resident Engineer: Tyrone Taylor Structure Rep.: Matthew Chang
Sample Information
DIME Sample ID: 2026-03-24-34
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 03/24/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/25/2026
The quantity of what the sample constitutes: 3
A brief description of the sample: Concrete beams
From where was the sample collected: Job Site
Laboratory sample identification: 26-0044
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SHORTLOAD CONCRETE INC
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: Unknown
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled: Test Slab
From Lot No.:
Bag Lot No.:
Test Results
Test
DIME Test ID: 2026-03-24-34-1
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 03/27/2026
Date Tested: 03/27/2026
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Number of specimens
|
3
|
|
Unit system used?
|
US Units
|
|
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
|
|
Is a beam dimensional correction factor used?
|
No
|
|
Modulus of rupture average
|
690 psi
|
|
Modulus of rupture
|
650 psi
|
|
Modulus of rupture 2
|
700 psi
|
|
Modulus of rupture 3
|
725 psi
|
|
Age of specimen
|
3 days
|
Test
DIME Test ID: 2026-03-24-34-2
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 04/01/2026
Date Tested: 04/01/2026
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Number of specimens
|
3
|
|
Unit system used?
|
US Units
|
|
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
|
|
Is a beam dimensional correction factor used?
|
No
|
|
Modulus of rupture average
|
725 psi
|
|
Modulus of rupture
|
690 psi
|
|
Modulus of rupture 2
|
695 psi
|
|
Modulus of rupture 3
|
790 psi
|
|
Age of specimen
|
8 days
|
