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Testing Report for 2021-09-02-30-4

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

Project Information

DEA: 080F5434
EFIS: 0817000239
Project ID: 215188
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-I-15,SR-91-6.1-7.6
Work Description: I-15 ELC: 15/91 Express Lanes Connector Project (ELC)
Location Description: Junction of I-15 and SR-91 in Corona, CA
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Roy Fisher
Structure Rep.: Luis Negrete

Sample Information

DIME Sample ID: 2021-09-02-30
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: 9/2/2021
Date that the sample was received by the laboratory/organization performing the testing: 9/3/2021
The quantity of what the sample constitutes: 4 Beams
A brief description of the sample: Concrete beams
From where was the sample collected: Job Site
Laboratory sample identification: 1JA1, 1JA2, 1JB1, 1JB2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex, Fontana

Material Information

The concrete mix design number: 1605762
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: 2021-09-02-30-4
Test Method: CTM 523-July 2012: Method of Test for Flexural Strength of Concrete
Date Tested: 9/30/2021
Verified Date: 9/30/2021
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: 750 psi