Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-6.7/R25.1
Work Description: Remove concrete pavement and base, and place HMA and JPCP
Location Description: ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
Contractor Name: Coffman Specialties
Contractor Address: 9685 Via Excelencia, San Diego, CA 92126
Resident Engineer: Elvira Lenart Structure Rep.: Unknown
DIME Sample ID: 2021-12-01-22
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: 12/01/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/02/2021
The quantity of what the sample constitutes: 2 Beams
A brief description of the sample: JPCP beams
From where was the sample collected: Job Site
Laboratory sample identification: 129JA1,129JA2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Coffman Specialties, Inc
The concrete mix design number: 1906-2
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: TTI
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: On Job Site at Concrete Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2021-12-01-22-1
Test Method: CTM 523-July 2012: Method of Test for Flexural Strength of Concrete
Verified Date: 12/15/2021
Date Tested: 12/11/2021
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:
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
|
660 psi
|
DIME Test ID: 2021-12-01-22-2
Test Method: CTM 523-July 2012: Method of Test for Flexural Strength of Concrete
Verified Date: 12/15/2021
Date Tested: 12/11/2021
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:
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
|
660 psi
|
DIME Test ID: 2021-12-01-22-3
Test Method: CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete
Verified Date: 12/15/2021
Date Tested: 12/01/2021
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:
Additional Comments When Verified:
Ball penetration in freshly mixed concrete (average)
|
0.75 inch
|
DIME Test ID: 2021-12-01-22-4
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 12/15/2021
Date Tested: 12/01/2021
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:
Additional Comments When Verified:
Unit weight of the concrete
|
145.5 lb/ft^3
|
Cement content
|
612.4 lb/yd^3
|
DIME Test ID: 2021-12-01-22-5
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 12/15/2021
Date Tested: 12/01/2021
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:
Additional Comments When Verified: