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Sample Record for 2022-12-08-15

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

Project Information

Project ID: 214670 DEA: 07331004 EFIS: 0716000220 QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-101-9.0/9.2
Work Description: CONCRETE SLAB REPLACEMENT & GRIND, PAVEMENT & RESURFACE ACE
Location Description: VENTURA COUNTY IN THOUSAND OAKS FROM NORTHBOUND OFF-RAMP TO SOUTHBOUND OFF-RAMP AT CONEJO COMMERCIAL VEHICLE ENFORCEMENT FACILITIES
Contractor Name: POWELL CONSTRUCTORS INC
Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335
Resident Engineer: Ranjit Singh Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-12-08-15
TL Number from the TL Form:
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: 12/08/2022
Date that the sample was received by the laboratory/organization performing the testing: 12/08/2022
The quantity of what the sample constitutes: 200 CY plus
A brief description of the sample: ISR-RSC
From where was the sample collected: Job Site
Laboratory sample identification: 22-3165
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Powell Construction

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: Wheelbarrow from Chute volumetric 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: 2022-12-08-15-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 12/11/2022
Date Tested: 12/11/2022
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:
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 780 psi
Modulus of rupture 2 720 psi
Modulus of rupture average 750 psi
Modulus of rupture 3 750 psi