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Sample Record for 2024-01-18-14

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

Project Information

Project ID: 215348 DEA: 060U4204 EFIS: 0616000004 QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-99-R4.9/11.6
Work Description: CONSTRUCT CRCP, PLACE HMA, AND ROADWAY EXCAVATION.
Location Description: FRESNO COUNTY IN AND NEAR SELMA AND FOWLER FROM MCCALL AVENUE UNDERCROSSING TO 0.5 MILE NORTH OF MERCED STREET UNDERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 Townsgate Rd. Suite 200, Westlake Village CA 91361
Resident Engineer: Chris Wilfong Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-01-18-14
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 417-5341
Type of Sample: Department Acceptance
Type of Material: Concrete
Sample Taken Date: 01/18/2024
Date that the sample was received by the laboratory/organization performing the testing: 01/21/2024
The quantity of what the sample constitutes: 1000yds
A brief description of the sample: CRCP Beams
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Security Paving batch plant

Material Information

The concrete mix design number: G3-22-PCC-291
The truck number from where the sample was collected: 108
The batch plant ticket number from where the sample was collected: 287168
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete from loader bucket
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-01-18-14-1
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 01/29/2024
Date Tested: 01/29/2024
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 3240 North Millbrook Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93726
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
General Comments for this Test: Field cure
Test Result Compliance: does not comply
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 555 psi
Modulus of rupture 555 psi
Modulus of rupture 2 550 psi
Modulus of rupture 3 565 psi
Age of specimen 11 days

Test 2 of 2

DIME Test ID: 2024-01-18-14-2
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Verified Date: 02/16/2024
Date Tested: 02/15/2024
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 3240 North Millbrook Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93726
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
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 675 psi
Modulus of rupture 675 psi
Modulus of rupture 2 660 psi
Modulus of rupture 3 690 psi
Age of specimen 28 days