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Testing Report for 2021-07-16-50-1

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

Project Information

DEA: 081M5404
EFIS: 0821000131
Project ID: 993128
QA Service Level: 1
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Alam Mahfual
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-16-50
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: (951) 840-8328
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 7/16/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/19/2021
The quantity of what the sample constitutes: 3 beams
A brief description of the sample: PCC Rapid set beams
From where was the sample collected: Job Site
Laboratory sample identification: 1RA,1RB,1RC
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: shortload concrete

Material Information

The concrete mix design number: 800-3RSC
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: TTI
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: On Job Site at Concrete Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2021-07-16-50-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Date Tested: 7/19/2021
Verified Date: 7/23/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email:
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Number of specimens: 1
Fracture initiates in the tension surface: Within the Middle Third of the Span Length
Fracture occurred at a capped section: No
Modulus of rupture: 760 psi