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Sample Record for 2022-03-13-11

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

Project Information

Project ID: 213598 DEA: 051F75U4 EFIS: 0518000092 QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-101-R36.9/47.7
Work Description: CRCP, SEISMIC RETROFIT, BRIDGE WIDENING AND MEDIAN BARRIER
Location Description: MONTEREY COUNTY IN AND NEAR KING CITY FROM 0.4 MILE SOUTH OF WILD HORSE ROAD OVERCROSSING TO TEAGUE AVENUE
Contractor Name: OHL USA, INC.
Contractor Address: 1920 Main St. Suite 310, Irvine, CA 92614
Resident Engineer: Adam Rianda Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-03-13-11
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Big Sur Field Laboratory
Sample Organization Contact: (805) 471-2100
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 03/13/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/14/2022
The quantity of what the sample constitutes: 123 cy
A brief description of the sample: SCI-12101-4 : OHL Batched Plant
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: OHL Batch Plant

Material Information

The concrete mix design number: SCI-12101-4
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 14
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: At the OHL Batch Plant.
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: 2022-03-13-11-1
Test Method: CTM 523-July 2012: Method of Test for Flexural Strength of Concrete
Verified Date: 12/09/2022
Date Tested: 03/14/2022
Submitted By Organization: CT D05 - Big Sur Field Laboratory
Organization Address: 3230 Riverside Avenue, Suite 130,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93446
Organization Email: adam.rianda@dot.ca.gov
Organization Phone: (805) 471-2100
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What test method is being used? Third-Point Loading
Fracture initiates in the tension surface Within the Middle Third of the Span Length
Modulus of rupture 740 psi