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Sample Record for 2023-05-12-82

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

Project Information

Project ID: 6585 DEA: 120H0014 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-39-9.1
Work Description: MODIFY SIGNAL AND EXTEND LEFT TURN
Location Description: IN ORANGE COUNTY IN HUNTINGTONBEACH AND WESTMINSTER AT EDINGERAVENUE
Contractor Name: BEADOR CONSTRUCTION COMPANY
Contractor Address: 26320 LESTER CIRCLE, CORONA, CA 92883
Resident Engineer: JOSE BERRIOS Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-05-12-82
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 05/12/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/13/2023
The quantity of what the sample constitutes: 3 beams
A brief description of the sample: concerete beams
From where was the sample collected: Job Site
Laboratory sample identification: 23-0160
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons-Anaheim

Material Information

The concrete mix design number: LB060008
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 000
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: AT THE JOB SITE
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: 2023-05-12-82-1
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 06/10/2023
Date Tested: 06/09/2023
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
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? No
Modulus of rupture average 700 psi
Modulus of rupture 680 psi
Modulus of rupture 2 710 psi
Age of specimen 28 days