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Sample Record for 2022-11-10-52

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Project Information

Project ID: 214524 DEA: 07304504 EFIS: 0714000067 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-57-R0.0/R4.5
Work Description: CONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK.
Location Description: LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION
Contractor Name: Griffith Company
Contractor Address: 3050 E. Birch Street, Brea, CA 92821
Resident Engineer: Martin Sandoval Structure Rep.: Avtar Bains

Sample Information

DIME Sample ID: 2022-11-10-52
TL Number from the TL Form:
Sample Submitted By Organization: Alta Vista Solutions - Whittier
Sample Organization Contact: (510) 542-9827
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 11/10/2022
Date that the sample was received by the laboratory/organization performing the testing: 11/11/2022
The quantity of what the sample constitutes: 10 Cubic Yards
A brief description of the sample: CRCP Beams
From where was the sample collected: Job Site
Laboratory sample identification: 22-3024
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vanguard Batch Plant

Material Information

The concrete mix design number: 57030SL
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 13430
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2022-11-10-52-1
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Submitted By Organization: Alta Vista Solutions - Whittier
Organization Address: 12409 Slauson Avenue, Suite I,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90606
Organization Email: nhoffmann@altavistasolutions.com
Organization Phone: (510) 542-9827
This test has been superseded on 01/05/2023. The corrected test ID is: 2022-11-10-52-3
Reason: retested

Test 2 of 3

DIME Test ID: 2022-11-10-52-2
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 01/05/2023
Date Tested: 11/10/2022
Submitted By Organization: Alta Vista Solutions - Whittier
Organization Address: 12409 Slauson Avenue, Suite I,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90606
Organization Email: nicholas.hoffmann@oneatlas.com
Organization Phone: (510) 542-9827
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Air Content 2.5 %

Test 3 of 3

DIME Test ID: 2022-11-10-52-3
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 01/05/2023
Date Tested: 12/08/2022
Submitted By Organization: Alta Vista Solutions - Whittier
Organization Address: 12409 Slauson Avenue, Suite I,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90606
Organization Email: nicholas.hoffmann@oneatlas.com
Organization Phone: (510) 542-9827
General Comments for this Test:
The test was superseded from test ID: 2022-11-10-52-1
Test Result Compliance:
Additional Comments When Verified:
Number of specimens 2
Unit system used? US Units
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
Is a beam dimensional correction factor used? Yes
Modulus of rupture average 690 psi
Modulus of rupture 710 psi
Modulus of rupture 2 670 psi
Age of specimen 28 days