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Sample Record for 2026-04-21-2

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

Project Information

Project ID: 1001281 DEA: 11430234 EFIS: 1118000029 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-0.1/14.6
Work Description: REPLACE CONC PVMT, CONSTRUCT AUX LANE & BIKE TRAIL, ELECT, & LANDSCAPE
Location Description: SAN DIEGO COUNTY IN SAN DIEGO, CHULA VISTA AND NATIONAL CITY FROM 0.3 MILE SOUTH OF ROUTE 805/5 SEPARATION TO ROUTE 805/15 SEPARATION
Contractor Name: GRIFFITH COMPANY
Contractor Address: 13400 Sabre Springs, Suite 200 | San Diego, CA 92128, San Diego, CA 92128
Resident Engineer: Jason Alsheikh Structure Rep.: Carlos Guzman

Sample Information

DIME Sample ID: 2026-04-21-2
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 04/21/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/21/2026
The quantity of what the sample constitutes: Field Sample
A brief description of the sample: Field Sample
From where was the sample collected: Source
Laboratory sample identification: Bid Item 144
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Volumetric Truck

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: 1
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Field
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

DIME Test ID: 2026-04-21-2-1
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 04/24/2026
Date Tested: 04/24/2026
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: 3 Day,740psi> 600psi@ 3 Days, complies
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 740 psi
Modulus of rupture 720 psi
Modulus of rupture 2 750 psi
Modulus of rupture 3 755 psi
Age of specimen 3 days