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Sample Record for 2022-02-03-10

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Project Information

Project ID: 214573 DEA: 073096U4 EFIS: 0719000091 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210-R0.0/R9.7
Work Description: PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
Contractor Name: FLATIRON WEST INC
Contractor Address: 15335 FAIRFIELD RANCH ROAD, CHINO HILLS, CA 91709
Resident Engineer: Ridwan Salman Structure Rep.: Adriana Pimienta

Sample Information

DIME Sample ID: 2022-02-03-10
TL Number from the TL Form:
Sample Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Sample Organization Contact: (909) 833-5780
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 02/03/2022
Date that the sample was received by the laboratory/organization performing the testing: 02/04/2022
The quantity of what the sample constitutes: 906 CY
A brief description of the sample: A set of 4 JPCP concrete beam test specimens
From where was the sample collected: Job Site
Laboratory sample identification: 22-0192
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Flatiron Plant

Material Information

The concrete mix design number: JPCP-3215-06
The truck number from where the sample was collected: Load 18
The batch plant ticket number from where the sample was collected: 18
Concrete batch plant: Flatiron Plant
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete from wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2022-02-03-10-1
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 02/14/2022
Date Tested: 02/13/2022
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: 210 EB Stage 3: Paxton Street Approach and Departure: Station 309+51 to 317+33; 319+79 to 326+53
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 605 psi
Modulus of rupture 600 psi
Modulus of rupture 2 605 psi
Age of specimen 10 days