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Sample Record for 2021-02-06-10

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

Project Information

Project ID: 213970 DEA: 080K1214 EFIS: 0815000245 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-12.5/14.8
Work Description: REPLACE PCC PAVEMENT WITH JPCP AND PRECAST JOINTED CONCRETE PAVEMENT.
Location Description: SAN BERNARDINO COUNTY IN FONTANA AND NEAR DEVORE FROM 0.3 MILE SOUTH OF SIERRA AVENUE UNDERCROSSING TO GLEN HELEN PARKWAY UNDERCROSSING
Contractor Name: OHL USA, INC
Contractor Address: 1920 MAIN STREET STE 310, Irvine, CA 92614
Resident Engineer: Vu Thanh Nguyen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-02-06-10
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Testing Laboratory
Sample Organization Contact: (760) 843-4173
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 02/06/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/15/2021
The quantity of what the sample constitutes: 2
A brief description of the sample: Concrete beams
From where was the sample collected: Job Site
Laboratory sample identification: 21A 21B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: robertsons

Material Information

The concrete mix design number: 1553950
The truck number from where the sample was collected: CHUTE
The batch plant ticket number from where the sample was collected: 2946171 TRUCK 7274
Concrete batch plant:
The fabricator/manufacturer designation for the sample: Robertsons Batch Plant Lucerne
A detailed description of where the material sample was collected: Back of Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 2

DIME Test ID: 2021-02-06-10-1
Test Method: ASTM C293-10: Standard Test Method for Flexural Strength of Concrete (Using Simple Beam With Center-Point Loading)
Verified Date: 06/11/2021
Date Tested: 02/16/2021
Submitted By Organization: CT D08 - Barstow Field Testing Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: michael.yuen@dot.ca.gov
Organization Phone: (760) 843-4173
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Modulus of rupture 760 psi

Test 2 of 2

DIME Test ID: 2021-02-06-10-2
Test Method: ASTM C293-10: Standard Test Method for Flexural Strength of Concrete (Using Simple Beam With Center-Point Loading)
Verified Date: 06/11/2021
Date Tested: 02/16/2021
Submitted By Organization: CT D08 - Barstow Field Testing Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: michael.yuen@dot.ca.gov
Organization Phone: (760) 843-4173
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? US Units
Modulus of rupture 770 psi

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.