Sample Record for 2021-12-10-19
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
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
Sample Information
DIME Sample ID: 2021-12-10-19
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 594-1991
Type of Sample: Quality Assurance
Type of Material: Rapid Set
Sample Taken Date: 12/10/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/13/2021
The quantity of what the sample constitutes: 1 Bag
A brief description of the sample: Rapid Set
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Aquafin
Material Information
Manufacturer: Aquafin
Mix no.: 3599
Materials Received: Pavemend DOTline
Lot no.: Unknown
Batch no.: Unknown
Test Results
Test 1 of 2
DIME Test ID: 2021-12-10-19-1
Test Method: CONCLP 2-16: Rapid Set Patching Materials
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: spencer.adams@dot.ca.gov
Organization Phone: (916) 594-1991
This test has been superseded on 02/07/2022. The corrected test ID is: 2021-12-10-19-2
Reason: retested
Test 2 of 2
DIME Test ID: 2021-12-10-19-2
Test Method: CONCLP 2-16: Rapid Set Patching Materials
Verified Date: 02/07/2022
Date Tested: 01/07/2022
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: spencer.adams@dot.ca.gov
Organization Phone: (916) 227-5716
General Comments for this Test: 1 bag of material was received for testing so not all tests were performed.
The test was superseded from test ID: 2021-12-10-19-1
Test Result Compliance: does not comply
Additional Comments When Verified:
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Compressive Strength @ 3 hrs (CTM 551)
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3550
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Compressive Strength @ 24 hrs (CTM 551)
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6720
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Flexure Strength @ 24 hrs (CTM 551)
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710
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Bond Strength @ 24 hrs - SSD (CTM 551)
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0
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Bond Strength @ 24 hrs - Dry (CTM 551)
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0
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Water Absorption (CTM 551)
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0
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Abrasion @ 24 hrs (CTM 550)
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28
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Drying Shrinkage @ 4 days (CTM 596)
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0
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Soluble Chlorides (CTM 422)
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0.004
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Water Soluble-Sulfates (CTM 417)
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0.93
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Material Weight
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53.3
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Water Weight
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4.2
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