Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-6.7/R25.1
Work Description: Remove concrete pavement and base, and place HMA and JPCP
Location Description: ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
Contractor Name: Coffman Specialties
Contractor Address: 9685 Via Excelencia, San Diego, CA 92126
Resident Engineer: Elvira Lenart Structure Rep.: Unknown
DIME Sample ID: 2022-12-15-33
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 12/15/2022
Date that the sample was received by the laboratory/organization performing the testing: 12/16/2022
The quantity of what the sample constitutes: 3 beams
A brief description of the sample: PCC Rapid set beams
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Coffman
The concrete mix design number: 1906-33
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: NI
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: On Job Site at Concrete Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2022-12-15-33-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 01/17/2023
Date Tested: 12/19/2022
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Number of specimens
|
1
|
|
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
|
4 days
|
|
Modulus of rupture
|
810 psi
|
DIME Test ID: 2022-12-15-33-2
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 01/17/2023
Date Tested: 12/19/2022
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Number of specimens
|
1
|
|
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
|
4 days
|
|
Modulus of rupture
|
930 psi
|
DIME Test ID: 2022-12-15-33-3
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 01/17/2023
Date Tested: 12/19/2022
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Number of specimens
|
1
|
|
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
|
4 days
|
|
Modulus of rupture
|
830 psi
|
