Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000035 DEA: 120T9804 EFIS: 1223000011
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-22-R3.0
Work Description: REPAIR PAVEMENT AND UPGRADE GUARDRAIL.
Location Description: ORANGE COUNTY IN WESTMINSTER AT WESTBOUND OFF-RAMP TO GARDEN GROVE BOULEVARD/KNOTT STREET
Contractor Name: GRUEN ENGINEERING, INC.
Contractor Address: 12418 GRUEN STREET, PACOIMA, CA 91331
Resident Engineer: Mike Ezzedine Structure Rep.: Unknown
DIME Sample ID: 2024-07-20-3
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: 07/20/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/21/2024
The quantity of what the sample constitutes: 3
A brief description of the sample: Concrete beams
From where was the sample collected: Job Site
Laboratory sample identification: 24-0335
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Short Load
The concrete mix design number: CTS-65-EHI
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 1
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2024-07-20-3-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 07/30/2024
Date Tested: 07/30/2024
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:
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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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10 days
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Modulus of rupture
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700 psi
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Modulus of rupture 2
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710 psi
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Modulus of rupture average
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670 psi
|
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Modulus of rupture 3
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600 psi
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