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Sample Record for 2022-03-06-10

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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: 2022-03-06-10
TL Number from the TL Form: 22-0411
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Concrete
Sample Taken Date: 03/06/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/06/2022
The quantity of what the sample constitutes: 130 CY
A brief description of the sample: JPCP-RSC Beams
From where was the sample collected: Supplier
Laboratory sample identification: 22-0411
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Flatiron Plant

Material Information

The concrete mix design number: 3215-JPCPRSC-12
The truck number from where the sample was collected: 17
The batch plant ticket number from where the sample was collected: 17
Concrete batch plant: Flatiron Batch Plant
The fabricator/manufacturer designation for the sample: 3215-JPCPRSC-12
A detailed description of where the material sample was collected: Skiploader
Where the material sample would have been placed if not sampled: WB118 to EB210 connector
From Lot No.:
Bag Lot No.:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2022-03-06-10-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 03/18/2022
Date Tested: 03/16/2022
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 Yes
Is a beam dimensional correction factor used? No
Age of specimen 10 days
Modulus of rupture 740 psi
Modulus of rupture 2 780 psi
Modulus of rupture average 750 psi
Modulus of rupture 3 730 psi