Sample Record for 2022-11-29-13
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993424 DEA: 04281204 EFIS: 0400000769
QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29,221-5.5/6.7,0.0/0.2
Work Description: HMA, RDWY EXCAVATION, STRUCTURAL CONC AND MODIFYING LIGHTING SYSTEMS.
Location Description: NAPA COUNTY NEAR NAPA ON ROUTE 29 FROM 0.7 MILE SOUTH TO 0.5 MILE NORTH OF ROUTE 221 AND ON ROUTE 221 FROM 0.2 MILE NORTH OF ROUTE 29 TO ROUTE 29
Contractor Name: Ghilloti Construction Co.
Contractor Address: 246 Ghilloti Ave, Santa Rosa CA 95407
Resident Engineer: Darren Isada Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2022-11-29-13
TL Number from the TL Form: 28 - Napa
Sample Submitted By Organization: CT SC - 3676 - 106
Sample Organization Contact:
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 11/29/2022
Date that the sample was received by the laboratory/organization performing the testing: 11/30/2022
The quantity of what the sample constitutes: 3 Beams
A brief description of the sample: 6x6x21 beams
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier: 21-0119
Structure name: Napa 29 Roundabout/Off Ramps
The fabricator/manufacturer/facility name: Shamrock Napa
Material Information
The concrete mix design number: CT063AR5W
The truck number from where the sample was collected: 1414
The batch plant ticket number from where the sample was collected: 736484
Concrete batch plant: Shamrock Materials
The fabricator/manufacturer designation for the sample: Shamrock
A detailed description of where the material sample was collected: Back of truck discharge chute
Where the material sample would have been placed if not sampled: Inside Form
From Lot No.:
Bag Lot No.:
Test Results
Test 1 of 1
DIME Test ID: 2022-11-29-13-1
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 01/04/2023
Date Tested: 12/27/2022
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test: Rainhart machine reads load in lb/sq inch and converted back to load by multiplying the surface area of contact.
Test Result Compliance: complies
Additional Comments When Verified:
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Number of specimens
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3
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Unit system used?
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US Units
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Does the testing machine measure load or stress on the beam specimen?
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Load
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Fracture initiates in the tension surface
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Within the Middle Third of the Span Length
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Is a beam dimensional correction factor used?
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Yes
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Modulus of rupture average
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765 psi
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Modulus of rupture
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770 psi
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Modulus of rupture 2
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760 psi
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Modulus of rupture 3
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760 psi
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Age of specimen
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28 days
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