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Sample Record for 2022-06-26-1

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

Project Information

Project ID: 214493 DEA: 07311704 EFIS: 0715000013 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-134-0.0/R13.3
Work Description: CONCRETE SLAB REPLACEMENT, HMA PAVING, ELECTRICAL AND LANDSCAPE WORK.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES, BURBANK, GLENDALE AND PASADENA FROM ROUTE 101/134 SEPARATION TO JUNCTION OF ROUTE 210/710
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 Construction Circle West, Irvine, CA 92606-4414
Resident Engineer: David Ayala Vanegas Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-06-26-1
TL Number from the TL Form: 062622
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Department Acceptance
Type of Material: Concrete
Sample Taken Date: 06/26/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/26/2022
The quantity of what the sample constitutes: 130 CY
A brief description of the sample: 6x6x21 beams
From where was the sample collected: Job Site
Laboratory sample identification: 22-1544
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Peterson Chase

Material Information

The concrete mix design number: NA
The truck number from where the sample was collected: 2122
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant: Peterson Chase
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: CHUTE FROM TRUCK
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: 2022-06-26-1-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 06/29/2022
Date Tested: 06/29/2022
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
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 3 days
Modulus of rupture 760 psi
Modulus of rupture 2 800 psi
Modulus of rupture average 770 psi
Modulus of rupture 3 750 psi