Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214670 DEA: 07331004 EFIS: 0716000220
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-101-9.0/9.2
Work Description: CONCRETE SLAB REPLACEMENT & GRIND, PAVEMENT & RESURFACE ACE
Location Description: VENTURA COUNTY IN THOUSAND OAKS FROM NORTHBOUND OFF-RAMP TO SOUTHBOUND OFF-RAMP AT CONEJO COMMERCIAL VEHICLE ENFORCEMENT FACILITIES
Contractor Name: POWELL CONSTRUCTORS INC
Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335
Resident Engineer: Ranjit Singh Structure Rep.: Unknown
DIME Sample ID: 2023-09-15-70
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: 09/15/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/16/2023
The quantity of what the sample constitutes: 140 cu. yd.
A brief description of the sample: JPCP-BEAMS @ 28 days
From where was the sample collected: Job Site
Laboratory sample identification: 23-1431
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: National Ready Mix Concrete Company
The concrete mix design number: S63C351
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 195498
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Sampled from chute of ready mix truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-09-15-70-1
Test Method: ASTM C78-18: Standard Test Method for Flexural Strength of Concrete (Using Simple Beam with Third-Point Loading)
Verified Date: 10/13/2023
Date Tested: 10/13/2023
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:
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Number of specimens
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3
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Unit system used?
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US Units
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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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Is a beam dimensional correction factor used?
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No
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Modulus of rupture
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655 psi
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Modulus of rupture 2
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620 psi
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Modulus of rupture 3
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635 psi
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Modulus of rupture average
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635 psi
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