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Sample Record for 2020-10-03-16

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Project Information

Project ID: 214029 DEA: 07301104 EFIS: 0714000009 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-60,710-710-R2.8/11.8, 24.1/25.1
Work Description: Roadway ex, place jointed plain concrete pavement & concrete barrieres
Location Description: In Los Angeles County at avocado Heights on Route 60 from 0.5 Mile west of Route 60/710 Separation to Route 60/605 Separation AND on Route 710 from 0.5 miles south of Route 710/60 Separation to 0.5 mile north of Route 710/60 Separation.
Contractor Name: GUY F. ATKINSON CONSTRUCTION, LLC
Contractor Address: 18201 Von Karman Ave #800, Irvine, CA 92612
Resident Engineer: Sepand Minovi Structure Rep.: Rick Jensen

Sample Information

DIME Sample ID: 2020-10-03-16
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Material Lab, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/03/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/03/2020
The quantity of what the sample constitutes: 10 Cy
A brief description of the sample: Concrete beams
From where was the sample collected: Job Site
Laboratory sample identification: 20-3465
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertson Ready Mix

Material Information

The concrete mix design number: RRM19097
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: None
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Onsite with Bobcat
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 1

DIME Test ID: 2020-10-03-16-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 08/21/2021
Date Tested: 10/13/2020
Submitted By Organization: CT D07 - Material Lab, Unit 1953
Organization Address: 1940 S. Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email:
Organization Phone: (213) 817-0387
General Comments for this Test:
Test Result Compliance: not applicable
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 745 psi

Tests Assigned to this Sample

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