Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994753 DEA: 061E8404 EFIS: 0622000104
QA Service Level: 1
DIST-CO-RTE-PM: 06---
Work Description:
Location Description:
Contractor Name: Griffith Co.
Contractor Address: 12200 Bloomfield Ave, Santa Fe Springs, CA 90670
Resident Engineer: Trever Shiplee Structure Rep.: Unknown
DIME Sample ID: 2023-07-13-12
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Department Acceptance
Type of Material: Concrete
Sample Taken Date: 07/13/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/14/2023
The quantity of what the sample constitutes: 15 CY
A brief description of the sample: ISR-RSC Beams
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CTS SHORT LOAD RAPID SET
The concrete mix design number: CTS-65-GBR
The truck number from where the sample was collected: 15
The batch plant ticket number from where the sample was collected: 3
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of truck discharge chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2023-07-13-12-1
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 07/14/2023
Date Tested: 07/13/2023
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test: WB Hwy 58 lane #1 PM R59.461 Panel # 3
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2023-07-13-12-2
Test Method: CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete
Verified Date: 07/14/2023
Date Tested: 07/13/2023
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test: WB Hwy 58 lane #1 PM R59.461 Panel # 3
Test Result Compliance:
Additional Comments When Verified:
Ball penetration in freshly mixed concrete (average)
|
1.25 inch
|
DIME Test ID: 2023-07-13-12-3
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 07/14/2023
Date Tested: 07/13/2023
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test: WB Hwy 58 lane #1 PM R59.461 Panel # 3
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2023-07-13-12-4
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Verified Date: 07/17/2023
Date Tested: 07/17/2023
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test: 3 days MOR
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
|
No
|
Is a beam dimensional correction factor used?
|
No
|
Age of specimen
|
3 days
|
Modulus of rupture
|
540 psi
|
Modulus of rupture 2
|
560 psi
|
Modulus of rupture average
|
550 psi
|
Modulus of rupture 3
|
550 psi
|