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Sample Record for 2023-07-13-12

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

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

Sample Information

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

Material Information

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.:

Test Results

Test 1 of 4

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:
Air Content 1.9 %

Test 2 of 4

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

Test 3 of 4

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:
Temperature 85 F

Test 4 of 4

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