Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 210837 DEA: 080J0804 EFIS: 0800000283 COOP: 081625
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-34.7/51.6
Work Description: (Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT
Location Description: Riverside County and SBD-15-0.0/1.3
Contractor Name: Skanska-Ames, Joint Venture
Contractor Address: 1801 California Avenue, Corona, CA 92881
Resident Engineer: Roy Fisher (reports) Structure Rep.: Roy Fisher
DIME Sample ID: 2019-03-28-7
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 03/28/2019
Date that the sample was received by the laboratory/organization performing the testing: 03/15/2019
The quantity of what the sample constitutes: 6 Beams
A brief description of the sample: concrete beams
From where was the sample collected: Job Site
Laboratory sample identification: 11A1,11A2,11B1, 11B2
Structure unique identifier: Unknown
Structure name: Unknown
The fabricator/manufacturer/facility name: security paving Corona
The concrete mix design number: G3-18-PCC-135
The truck number from where the sample was collected: Unknown
The batch plant ticket number from where the sample was collected: tt1
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
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: Unknown
From Lot No.: Unknown
Bag Lot No.: Unknown
DIME Test ID: 2019-03-28-7-1
Test Method: CTM 523-July 2012: Method of Test for Flexural Strength of Concrete
Verified Date: 04/19/2019
Date Tested: 04/09/2019
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: complies
Additional Comments When Verified:
|
What test method is being used?
|
Third-Point Loading
|
|
Fracture initiates in the tension surface
|
Within the Middle Third of the Span Length
|
|
Modulus of rupture
|
no data
|
DIME Test ID: 2019-03-28-7-2
Test Method: CTM 523-July 2012: Method of Test for Flexural Strength of Concrete
Verified Date: 04/19/2019
Date Tested: 04/09/2019
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: complies
Additional Comments When Verified:
|
What test method is being used?
|
Third-Point Loading
|
|
Fracture initiates in the tension surface
|
Within the Middle Third of the Span Length
|
|
Modulus of rupture
|
no data
|
DIME Test ID: 2019-03-28-7-3
Test Method: CTM 523-July 2012: Method of Test for Flexural Strength of Concrete
Verified Date: 04/26/2019
Date Tested: 04/25/2019
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: complies
Additional Comments When Verified:
|
What test method is being used?
|
Third-Point Loading
|
|
Fracture initiates in the tension surface
|
Within the Middle Third of the Span Length
|
|
Modulus of rupture
|
no data
|
DIME Test ID: 2019-03-28-7-4
Test Method: CTM 523-July 2012: Method of Test for Flexural Strength of Concrete
Verified Date: 04/26/2019
Date Tested: 04/25/2019
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: complies
Additional Comments When Verified:
|
What test method is being used?
|
Center-Point Loading
|
|
Fracture initiates in the tension surface
|
Within the Middle Third of the Span Length
|
|
Modulus of rupture
|
no data
|
