DIME - Test Summary

Summary for Test 2020-12-04-14-4

Test performed: CTM 533-June 2010

Project Identifiers	Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196
DIST-CO-RTE-PM	08-RIV-10-6.7/R25.1
Award Date	11/26/2019
Closeout Date	11/01/2023
Work Description	Remove concrete pavement and base, and place HMA and JPCP
Location Description	ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
QA Service Level	1 (Verified on 01/09/2020)

Sample Taken Date	12/04/2020	Sample Unique Key	14
Date that the sample was received by the laboratory/organization performing the testing	12/05/2020	Sample type	Quality Assurance
A brief description of the sample	JPCP beams	The quantity of what the sample constitutes	4 Beams
From where was the sample collected	Job Site	First name of sampler or witnessed by	Alexsey, Kennedy
Last name of sampler or witnessed by	Souglobov, Eubany	Title of sampler
Telephone number of sampler		Laboratory sample identification	36JA1, 36JA2, 36JB1, 36JB2
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Coffman Specialties, Inc
Transportation Laboratory (TL) Number		Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	Concrete	The concrete mix design number	1906-2
The truck number from where the sample was collected	Unknown	The batch plant ticket number from where the sample was collected	tt
Concrete batch plant	Unknown	The fabricator/manufacturer designation for the sample	Unknown
A detailed description of where the material sample was collected	Discharge from concrete truck into wheelbarrow	Where the material sample would have been placed if not sampled	Unknown
From Lot No.	Unknown	Bag Lot No.	Unknown

DIME Sample ID: 2020-12-04-14

DIME Test ID: 2020-12-04-14-4

Testing Lab: CT D08 - Fontana Field Testing Laboratory

Test Method: CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete

Test Release Date: 2020-12-29

Input Type: Calculated

Tester's full name: K. Eubany

Date of test: 12/14/2020

Ball penetration in freshly mixed concrete (average): 0.25 inch

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 12/29/2020 ✔