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Sample Record for 2021-10-18-41

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Project Information

Project ID: 214524 DEA: 07304504 EFIS: 0714000067 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-57-R0.0/R4.5
Work Description: CONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK.
Location Description: LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION
Contractor Name: Griffith Company
Contractor Address: 3050 E. Birch Street, Brea, CA 92821
Resident Engineer: Martin Sandoval Structure Rep.: Avtar Bains

Sample Information

DIME Sample ID: 2021-10-18-41
TL Number from the TL Form:
Sample Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Sample Organization Contact: (909) 833-5780
Type of Sample: Per Request
Type of Material: Concrete
Sample Taken Date: 10/18/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/19/2021
The quantity of what the sample constitutes: Per 1000 CY
A brief description of the sample: A set of 2 PCC concrete beam test specimens
From where was the sample collected: Job Site
Laboratory sample identification: 212636-07304504-111521
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vanguard at the 57 Freeway

Material Information

The concrete mix design number: crcp 570
The truck number from where the sample was collected: 0
The batch plant ticket number from where the sample was collected: 3
Concrete batch plant: Vanguard at 57 Freeway
The fabricator/manufacturer designation for the sample: Batch
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: NB 57 mainline
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 1

DIME Test ID: 2021-10-18-41-1
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 11/15/2021
Date Tested: 11/15/2021
Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Organization Address: 620 South Magnolia Avenue, Building G,
Organization City: Ontario
Organization State: CA
Organization Zipcode: 91762
Organization Email: mdorsch@kleinfelder.com
Organization Phone: (909) 833-5780
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of specimens 2
Unit system used? US Units
Does the testing machine measure load or stress on the beam specimen? Load
Fracture initiates in the tension surface Within the Middle Third of the Span Length
Is a beam dimensional correction factor used? No
Modulus of rupture average 770 psi
Modulus of rupture 770 psi
Modulus of rupture 2 760 psi
Age of specimen 28 days