Sample Record for 2026-04-14-22
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: 2026-04-14-22
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: 04/14/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/15/2026
The quantity of what the sample constitutes: 6
A brief description of the sample: Concrete beams
From where was the sample collected: Job Site
Laboratory sample identification: 26-0067
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: Inside Lanes NB/SB 55. 1016+00~1041+00
From Lot No.:
Bag Lot No.:
Test Results
Test
DIME Test ID: 2026-04-14-22-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 04/20/2026
Date Tested: 04/17/2026
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
|
|
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
|
700 psi
|
|
Modulus of rupture 2
|
550 psi
|
|
Modulus of rupture average
|
630 psi
|
|
Modulus of rupture 3
|
640 psi
|
Test
DIME Test ID: 2026-04-14-22-2
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 04/21/2026
Date Tested: 04/21/2026
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
|
|
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
|
7 days
|
|
Modulus of rupture
|
680 psi
|
|
Modulus of rupture 2
|
680 psi
|
|
Modulus of rupture average
|
700 psi
|
|
Modulus of rupture 3
|
730 psi
|
