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Sample Record for 2022-11-09-36

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Project Information

Project ID: 214469 DEA: 030H08U4 EFIS: 0319000029 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-50-L0.2/R6.1
Work Description: Sac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC
Location Description: FROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE
Contractor Name: FLATIRON WEST INC
Contractor Address: 2100 Goodyear Rd., Benicia, CA 94510
Resident Engineer: Jim Rogers Structure Rep.: Daniel Eggers

Sample Information

DIME Sample ID: 2022-11-09-36
TL Number from the TL Form:
Sample Submitted By Organization: CT D03 - Rocklin Construction Field Office
Sample Organization Contact: 530-330-2727
Type of Sample: Verification
Type of Material: Concrete
Sample Taken Date: 11/09/2022
Date that the sample was received by the laboratory/organization performing the testing: 11/10/2022
The quantity of what the sample constitutes: Daily Production
A brief description of the sample: A set of 2 CRCP concrete beam test specimens
From where was the sample collected: Job Site
Laboratory sample identification: 657
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Elite Ready Mix Bradshaw

Material Information

The concrete mix design number: CT600
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 1
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: truck chute
Where the material sample would have been placed if not sampled: roadway
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 4

DIME Test ID: 2022-11-09-36-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 02/08/2023
Date Tested: 11/09/2022
Submitted By Organization: CT D03 - Rocklin Construction Field Office
Organization Address: 2520 Warren Drive, Suite A,
Organization City: Rocklin
Organization State: CA
Organization Zipcode: 95677
Organization Email: david.drane@dot.ca.gov
Organization Phone: (530) 330-2727
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Slump 2 inch

Test 2 of 4

DIME Test ID: 2022-11-09-36-3
Test Method: ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 02/08/2023
Date Tested: 11/09/2022
Submitted By Organization: CT D03 - Rocklin Construction Field Office
Organization Address: 2520 Warren Drive, Suite A,
Organization City: Rocklin
Organization State: CA
Organization Zipcode: 95677
Organization Email: david.drane@dot.ca.gov
Organization Phone: (530) 330-2727
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Air content 2.3 %

Test 3 of 4

DIME Test ID: 2022-11-09-36-4
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 02/08/2023
Date Tested: 11/09/2022
Submitted By Organization: CT D03 - Rocklin Construction Field Office
Organization Address: 2520 Warren Drive, Suite A,
Organization City: Rocklin
Organization State: CA
Organization Zipcode: 95677
Organization Email: david.drane@dot.ca.gov
Organization Phone: (530) 330-2727
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Temperature 64 F

Test 4 of 4

DIME Test ID: 2022-11-09-36-5
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 02/08/2023
Date Tested: 12/07/2022
Submitted By Organization: CT D03 - Rocklin Construction Field Office
Organization Address: 2520 Warren Drive, Suite A,
Organization City: Rocklin
Organization State: CA
Organization Zipcode: 95677
Organization Email: david.drane@dot.ca.gov
Organization Phone: (530) 330-2727
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Number of specimens 3
Unit system used? US Units
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
Is a beam dimensional correction factor used? No
Modulus of rupture average 610 psi
Modulus of rupture 615 psi
Modulus of rupture 2 610 psi
Modulus of rupture 3 610 psi
Age of specimen 27 days