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Sample Record for 2022-05-18-32

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Project Information

Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,ORA-5-0.0/1.5, 44.3/44.4
Work Description: CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description: LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 TOWNSGATE RD. SUITE 200, WESTLAKE VILLAGE, CA 91361
Resident Engineer: George Saker Structure Rep.: Danny Lalonde

Sample Information

DIME Sample ID: 2022-05-18-32
TL Number from the TL Form:
Sample Submitted By Organization: Kleinfelder, Inc. - Los Angeles
Sample Organization Contact: (909) 833-5780
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 05/18/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/19/2022
The quantity of what the sample constitutes: 900 CY
A brief description of the sample: A set of 2 JPCP concrete beam test specimens
From where was the sample collected: Job Site
Laboratory sample identification: 22-1196
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SECURITY PAVING PORTABLE PLANT- LA MIRADA

Material Information

The concrete mix design number: G3-19-PCC-001
The truck number from where the sample was collected: Load 9
The batch plant ticket number from where the sample was collected: 251071
Concrete batch 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

Test 1 of 1

DIME Test ID: 2022-05-18-32-1
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 06/15/2022
Date Tested: 06/15/2022
Submitted By Organization: Kleinfelder, Inc. - Los Angeles
Organization Address: 620 S. 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:
Test Result Compliance:
Additional Comments When Verified:
Number of specimens 2
Unit system used? US Units
Fracture initiates in the tension surface Within the Middle Third of the Span Length
Modulus of rupture average 830 psi
Modulus of rupture 850 psi
Modulus of rupture 2 810 psi

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.