Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993162 DEA: 07319104 EFIS: 0716000017
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-91-R11.8
Work Description: ADJUST VERTICAL CLEARANCE WITH ROADWAY EXCAVATION AND PLACE JPCP.
Location Description: LOS ANGELES COUNTY IN LONG BEACH AT NORTHBOUND ROUTE 710 TO EASTBOUND ROUTE 91 CONNECTOR
Contractor Name: RV Concrete
Contractor Address: 605 E Commercial Street, Anaheim, CA 92801
Resident Engineer: Thang Ton Structure Rep.: Unknown
DIME Sample ID: 2022-12-21-72
TL Number from the TL Form:
Sample Submitted By Organization: Alta Vista Solutions - Whittier
Sample Organization Contact: (510) 542-9827
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 12/21/2022
Date that the sample was received by the laboratory/organization performing the testing: 12/22/2022
The quantity of what the sample constitutes: 10 Cubic Yards
A brief description of the sample: Concrete Beams JPCP
From where was the sample collected: Job Site
Laboratory sample identification: 23-0013
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: n/a
The concrete mix design number: LB060008
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 7259221
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2022-12-21-72-1
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 01/20/2023
Date Tested: 01/18/2023
Submitted By Organization: Alta Vista Solutions - Whittier
Organization Address: 12409 Slauson Avenue, Suite I,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90606
Organization Email: nicholas.hoffmann@oneatlas.com
Organization Phone: (510) 542-9827
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Number of specimens
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3
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Unit system used?
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US Units
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Does the testing machine measure load or stress on the beam specimen?
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Load
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Fracture initiates in the tension surface
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Within the Middle Third of the Span Length
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Is a beam dimensional correction factor used?
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Yes
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Modulus of rupture average
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670 psi
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Modulus of rupture
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675 psi
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Modulus of rupture 2
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680 psi
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Modulus of rupture 3
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655 psi
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Age of specimen
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28 days
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DIME Test ID: 2022-12-21-72-2
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 01/20/2023
Date Tested: 12/21/2022
Submitted By Organization: Alta Vista Solutions - Whittier
Organization Address: 12409 Slauson Avenue, Suite I,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90606
Organization Email: nicholas.hoffmann@oneatlas.com
Organization Phone: (510) 542-9827
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
