Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994945 DEA: 081J6304 EFIS: 0818000086
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-215-3.6/6.0
Work Description: INDIVIDUAL SLAB REPLACEMENT (RSC) AND RHMA.
Location Description: SAN BERNARDINO COUNTY IN COLTON AND SAN BERNARDINO FROM 0.2 MILE SOUTH OF ROUTE 10/215 SEPARATION TO MILL STREET UNDERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 Townsgate Road, Suite 200, Westlake Village, CA 91361
Resident Engineer: Shaine Shahidi Structure Rep.: Unknown
DIME Sample ID: 2024-03-29-32
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Department Acceptance
Type of Material: Concrete
Sample Taken Date: 03/29/2024
Date that the sample was received by the laboratory/organization performing the testing: 03/29/2024
The quantity of what the sample constitutes: 3 Beams
A brief description of the sample: 3- 6X6X21 Rapid Set Concrete Beams
From where was the sample collected: Job Site
Laboratory sample identification: RSC12
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Contractor Yard
The concrete mix design number: G3-21-CTS-220
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 00000
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of Concrete Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-03-29-32-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 04/05/2024
Date Tested: 04/01/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
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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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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No
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Is a beam dimensional correction factor used?
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No
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Age of specimen
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3 days
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Modulus of rupture
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630 psi
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Modulus of rupture 2
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620 psi
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Modulus of rupture average
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630 psi
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Modulus of rupture 3
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640 psi
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