Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993844 DEA: 070W1004 EFIS: 0721000043
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-31.8/42.6
Work Description: PLACE RUBBERIZED HMA (GAP GRADED)
Location Description: LOS ANGELES COUNTY IN BURBANK AND LOS ANGELES FROM COHASSET STREET UNDERCROSSING TO ROXFORD STREET UNDERCROSSING
Contractor Name: C. A. RASMUSSEN INC
Contractor Address: 28548 LIVINGSTON AVE, VALENCIA, CA 91355
Resident Engineer: Sam Toutounchian Structure Rep.: Unknown
DIME Sample ID: 2023-04-15-10
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: 04/15/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/15/2023
The quantity of what the sample constitutes: 200 yd3
A brief description of the sample: 6x6x21 beams
From where was the sample collected: Job Site
Laboratory sample identification: 23-0448
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: George Throop
The concrete mix design number: 2010-007
The truck number from where the sample was collected: 0
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: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-04-15-10-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 05/05/2023
Date Tested: 04/18/2023
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) 817-0387
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
|
580 psi
|
Modulus of rupture 2
|
660 psi
|
Modulus of rupture average
|
640 psi
|
Modulus of rupture 3
|
670 psi
|