Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993418 DEA: 07324404 EFIS: 0716000077
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-22-0.0/1.5
Work Description: PLACE RHMA-G AND MODIFY SIGNAL AND LIGHTING SYSTEM.
Location Description: LOS ANGELES COUNTY IN LONG BEACH FROM ROUTE 1 TO SAN GABRIEL RIVER UNDERCROSSING
Contractor Name: Sulley Miller Contracting Co.
Contractor Address: 135 S. State College Blvd. Suite 400, Brea, CA 92821
Resident Engineer: Thang Ton Structure Rep.: Unknown
DIME Sample ID: 2022-07-23-8
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Department Acceptance
Type of Material: Concrete
Sample Taken Date: 07/23/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/23/2022
The quantity of what the sample constitutes: 60 CY
A brief description of the sample: JPCPRS
From where was the sample collected: Job Site
Laboratory sample identification: 22-1888
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NA
The concrete mix design number: NA
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: collected from chute to Wheel Barrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2022-07-23-8-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 08/02/2022
Date Tested: 08/02/2022
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:
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
|
780 psi
|
Modulus of rupture 2
|
780 psi
|
Modulus of rupture average
|
780 psi
|
Modulus of rupture 3
|
780 psi
|