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Testing Report for 2020-05-21-26-2

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

Project Information

DEA: 081F1424
EFIS: 0815000232
Project ID: 214221
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-23.9/33.4
Work Description: REPLACE INDIVIDUAL PCC SLABS, GRIND PCC PAVEMENT AND UPGRADE GUARDRAIL
Location Description: RIVERSIDE COUNTY NEAR LAKE ELSINORE FROM NICHOLS ROAD OVERCROSSING TO 0.2 MILE NORTH OF TEMESCAL CANYON ROAD UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Denise Sostrom
Structure Rep.: Arnel Vega

Sample Information

DIME Sample ID: 2020-05-21-26
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: 5/21/2020
Date that the sample was received by the laboratory/organization performing the testing:
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: 1 ISR-A, 1 ISR-B, 1 ISR-C
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: MSC Plant 1

Material Information

The concrete mix design number: 900-5HE
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: TT
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: concrete sample from wheel barrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Information

DIME Test ID: 2020-05-21-26-2
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Date Tested: 5/24/2020
Verified Date: 6/10/2020
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

Fracture initiates in the tension surface: Within the Middle Third of the Span Length
Fracture occurred at a capped section: No
Modulus of rupture: 850 psi