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Sample Record for 2022-01-30-7

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 214671 DEA: 07303904 EFIS: 0714000044 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-31.2/37.2
Work Description: LANE REPLACEMENT
Location Description: LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING
Contractor Name: Sierra Landscape Development Inc.
Contractor Address: 2209 1/2 Chico Ave., South El Monte CA, 91733
Resident Engineer: Hai Hong Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-01-30-7
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Santa Fe Springs Field Laboratory
Sample Organization Contact: (562) 345-3148
Type of Sample: Department Acceptance
Type of Material: Concrete
Sample Taken Date: 01/30/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/31/2022
The quantity of what the sample constitutes: 130 CY
A brief description of the sample: PCC-Beams
From where was the sample collected: Job Site
Laboratory sample identification: 22-0140
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Security Paving batch plant

Material Information

The concrete mix design number: G3-21-PRS-237
The truck number from where the sample was collected: Last load
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant: Security Paving batch plant
The fabricator/manufacturer designation for the sample: G3-21-prs-237
A detailed description of where the material sample was collected: Loader Bucket at Security Paving Plant
Where the material sample would have been placed if not sampled: PAVEMENT SLAB
From Lot No.:
Bag Lot No.:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2022-01-30-7-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Submitted By Organization: CT D07 - Santa Fe Springs Field Laboratory
Organization Address: 13230 Firestone Boulevard, Suite J,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: arnold.truong@dot.ca.gov
Organization Phone: (213) 808-4582
Data has not been verified.

Test 2 of 2

DIME Test ID: 2022-01-30-7-2
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 02/09/2022
Date Tested: 02/09/2022
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 817-0387
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Number of specimens 3
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
Fracture occurred at a capped section No
Is a beam dimensional correction factor used? No
Age of specimen 10 days
Modulus of rupture 720 psi
Modulus of rupture 2 710 psi
Modulus of rupture average 720 psi
Modulus of rupture 3 720 psi