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Testing Report for 2021-07-14-39-1

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

Project Information

DEA: 080Q75U4
EFIS: 0817000114
Project ID: 213746
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2
Work Description: REPLACEMENT OF TWO OUTSIDE LANES AND CONCRETE SLABS
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Ashraf Mohamed
Structure Rep.: Ching Chuang

Sample Information

DIME Sample ID: 2021-07-14-39
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: Acceptance
Type of Material: Concrete
Sample Taken Date: 7/14/2021
Date that the sample was received by the laboratory/organization performing the testing: 8/15/2021
The quantity of what the sample constitutes: 2 Beams
A brief description of the sample: Concrete beams
From where was the sample collected: Job Site
Laboratory sample identification: 98-2A1,98-2A2, 98-2B1, 98-2B2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RV Concrete Inc

Material Information

The concrete mix design number: G3-19-PCC-172
The truck number from where the sample was collected: Unknown
The batch plant ticket number from where the sample was collected: TT1
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
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: Unknown
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Information

DIME Test ID: 2021-07-14-39-1
Test Method: CTM 523-July 2012: Method of Test for Flexural Strength of Concrete
Date Tested: 8/11/2021
Verified Date: 8/12/2021
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: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

What test method is being used?: Third-Point Loading
Fracture initiates in the tension surface: Within the Middle Third of the Span Length
Modulus of rupture: 710 psi