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Sample Record for 2021-03-09-21

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 214340 DEA: 081G2914 EFIS: 0818000114 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10-27.9
Work Description: WIDEN EB OFF RAMP
Location Description: SAN BERNARDINO COUNTY IN REDLANDS AT CALIFORNIA STREET EASTBOUND EXIT RAMP
Contractor Name: ODONNELL CONSTRUCTION INC
Contractor Address: 559 W Covina Blvd, San Dimas, CA 91773
Resident Engineer: Samer Georges Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-03-09-21
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: (951) 840-8328
Type of Sample: Acceptance
Type of Material: Concrete
Sample Taken Date: 03/09/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/10/2021
The quantity of what the sample constitutes: 3 beams
A brief description of the sample: RSC Flexural Beams
From where was the sample collected: Manufacturer
Laboratory sample identification: 2RA, 2RB, 2RC
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons Redlands

Material Information

The concrete mix design number: SM446B39
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: TT-1
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete sample from wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2021-03-09-21-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 03/24/2021
Date Tested: 03/19/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria St.,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Number of specimens 1
Fracture initiates in the tension surface Within the Middle Third of the Span Length
Fracture occurred at a capped section No
Modulus of rupture 820 psi

Test 2 of 3

DIME Test ID: 2021-03-09-21-2
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 03/24/2021
Date Tested: 03/19/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria St.,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Number of specimens 1
Fracture initiates in the tension surface Within the Middle Third of the Span Length
Fracture occurred at a capped section No
Modulus of rupture 840 psi

Test 3 of 3

DIME Test ID: 2021-03-09-21-3
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 03/24/2021
Date Tested: 03/19/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria St.,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Number of specimens 1
Fracture initiates in the tension surface Within the Middle Third of the Span Length
Fracture occurred at a capped section No
Modulus of rupture 860 psi