Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994803 DEA: 043J0704 EFIS: 0415000077
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-80-10.1/13.5
Work Description: Remove PCC and AC, place PCP and AC Resurfacing.
Location Description: Construction on State Highway in Contra Costa County in Hercules and Crockett from Route 80/4 separation to 0.1 mile west of Crockett Viaduct.
Contractor Name: VANGUARD CONSTRUCTION, INC.
Contractor Address: 651 ENTERPRISE CT, LIVERMORE, CA 94550
Resident Engineer: Ta Seng Structure Rep.: Unknown
DIME Sample ID: 2023-09-01-45
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Richmond Field Laboratory
Sample Organization Contact: (510) 231-7151
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/01/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/01/2023
The quantity of what the sample constitutes: 650yards
A brief description of the sample: PCC Beams
From where was the sample collected: Job Site
Laboratory sample identification: RICH_23_538
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vangard
The concrete mix design number: HE4x12BM
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: none
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-09-01-45-5
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 09/21/2023
Date Tested: 09/01/2023
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Boulevard,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94508
Organization Email: santiago.sequeira@dot.ca.gov
Organization Phone: (510) 385-7641
General Comments for this Test: Beam Sample 5-C Load 12 Truck #90 Sample Taken @650Yards
PASSED
Test Result Compliance: complies
Additional Comments When Verified:
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Number of specimens
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1
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Does the testing machine measure load or stress on the beam specimen?
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Load
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Fracture initiates in the tension surface
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Within the Middle Third of the Span Length
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Fracture occurred at a capped section
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Yes
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Is a beam dimensional correction factor used?
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Yes
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Age of specimen
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0 days
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Modulus of rupture
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550 psi
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