Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215188 DEA: 080F5434 EFIS: 0817000239 Permit Numbers: 0823NMC0369
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: Myers-Rados Joint Venture
Contractor Address: 629 N. Main Street, Suite C3, Corona, CA 92878
Resident Engineer: Roy Fisher Structure Rep.: Alhakem Alina
DIME Sample ID: 2021-10-05-36
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Concrete
Sample Taken Date: 10/05/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/06/2021
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: 2JA1, 2JA2, 2JB1, 2JB2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex, Fontana
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.:
DIME Test ID: 2021-10-05-36-1
Test Method: CTM 523-July 2012: Method of Test for Flexural Strength of Concrete
Verified Date: 10/18/2021
Date Tested: 10/15/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
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
|
560 psi
|
DIME Test ID: 2021-10-05-36-2
Test Method: CTM 523-July 2012: Method of Test for Flexural Strength of Concrete
Verified Date: 10/18/2021
Date Tested: 10/15/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
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
|
530 psi
|
DIME Test ID: 2021-10-05-36-3
Test Method: CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete
Verified Date: 10/18/2021
Date Tested: 10/05/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Ball penetration in freshly mixed concrete (average)
|
1.75 inch
|
DIME Test ID: 2021-10-05-36-4
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 10/18/2021
Date Tested: 10/05/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2021-10-05-36-5
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 10/18/2021
Date Tested: 10/05/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Unit weight of the concrete
|
145.9 lb/ft^3
|
|
Cement content
|
588.7 lb/yd^3
|
DIME Test ID: 2021-10-05-36-6
Test Method: CTM 523-July 2012: Method of Test for Flexural Strength of Concrete
Verified Date: 11/02/2021
Date Tested: 11/02/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
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
|
670 psi
|
DIME Test ID: 2021-10-05-36-7
Test Method: CTM 523-July 2012: Method of Test for Flexural Strength of Concrete
Verified Date: 11/02/2021
Date Tested: 11/02/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
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
|
690 psi
|
