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Sample Record for 2022-01-29-21

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Project Information

Project ID: 214573 DEA: 073096U4 EFIS: 0719000091 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210-R0.0/R9.7
Work Description: PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
Contractor Name: FLATIRON WEST INC
Contractor Address: 15335 FAIRFIELD RANCH ROAD, CHINO HILLS, CA 91709
Resident Engineer: Ridwan Salman Structure Rep.: Adriana Pimienta

Sample Information

DIME Sample ID: 2022-01-29-21
TL Number from the TL Form:
Sample Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Sample Organization Contact: (909) 833-5780
Type of Sample: Per Request
Type of Material: Concrete
Sample Taken Date: 01/29/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/30/2022
The quantity of what the sample constitutes: Per 500 CY
A brief description of the sample: A set of 3 JPCP RSC beams
From where was the sample collected: Job Site
Laboratory sample identification: 22-0147
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Security Paving Burbank Batch Plant

Material Information

The concrete mix design number: 3215-JPCPRSC-12
The truck number from where the sample was collected: Load 3
The batch plant ticket number from where the sample was collected: Not Provided
Concrete batch plant: Security Paving Burbank Batch Plant
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: See Below Notes
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 1 of 1

DIME Test ID: 2022-01-29-21-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 02/09/2022
Date Tested: 02/08/2022
Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Organization Address: 620 South Magnolia Avenue, Building G,
Organization City: Ontario
Organization State: CA
Organization Zipcode: 91762
Organization Email: mdorsch@kleinfelder.com
Organization Phone: (909) 833-5780
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 10 days
Modulus of rupture 830 psi
Modulus of rupture 2 800 psi
Modulus of rupture average 810 psi
Modulus of rupture 3 810 psi