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Sample Record for 2023-07-26-72

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

Project Information

Project ID: 994408 DEA: 051K03U4 EFIS: 0522000026 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-101-
Work Description: !!PLEASE CC Office Engineer Barbara Riccardi on reports to RE and SR!! Construct 2 roundabouts in Montecito along US 101.
Location Description:
Contractor Name: Veronica Mchugh
Contractor Address: 5335 DEBBIE ROAD, SANTA BARBARA, CA 93111
Resident Engineer: Taylor Merlo Structure Rep.: Josh Madrigal

Sample Information

DIME Sample ID: 2023-07-26-72
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Sample Organization Contact: (805) 621-3616
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 07/26/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/27/2023
The quantity of what the sample constitutes: 130 CY
A brief description of the sample: PCC - CRCP
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex Santa Barbara

Material Information

The concrete mix design number: 1625995
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 30851673
Concrete batch plant: Cemex Santa Barbara
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.:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-07-26-72-1
Test Method: ASTM C78-18: Standard Test Method for Flexural Strength of Concrete (Using Simple Beam with Third-Point Loading)
Verified Date: 08/16/2023
Date Tested: 07/26/2023
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
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 725 psi
Modulus of rupture 2 685 psi
Modulus of rupture average 705 psi

Test 2 of 2

DIME Test ID: 2023-07-26-72-2
Test Method: ASTM C78-18: Standard Test Method for Flexural Strength of Concrete (Using Simple Beam with Third-Point Loading)
Verified Date: 08/24/2023
Date Tested: 07/26/2023
Submitted By Organization: CT D05 - Carpinteria Field Laboratory
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
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? Yes
Modulus of rupture 645 psi
Modulus of rupture 2 660 psi
Modulus of rupture average 655 psi