DIME - Test Summary

Summary for Test 2021-01-19-12-3

Test performed: CTM 504-June 2010

Project Identifiers	Project ID: 214572 DEA: 034E62U4 EFIS: 0319000068
DIST-CO-RTE-PM	03-ED-50-18.5/24.2
Award Date	05/04/2020
Closeout Date	Not set
Work Description	CONSTRUCT UC, MED BARRIER, DRAINAGE SYSTEMS & HMA OVERLAY.
Location Description	EL DORADO COUNTY IN AND NEAR PLACERVILLE FROM MOSQUITO ROAD UNDERCROSSING TO SCHNELL SCHOOL ROAD UNDERCROSSING AND FROM 0.2 MILE WEST OF STILL MEADOW ROAD TO 0.2 MILE EAST OF CARSON ROAD
QA Service Level	1 (Verified on 03/18/2020)

Sample Taken Date	01/19/2021	Sample Unique Key	12
Will the laboratory/organization for which you are a member perform testing on this material sample?	Yes	Date that the sample was received by the laboratory/organization performing the testing	01/20/2021
Sample type	Quality Control	A brief description of the sample	Concrete
The quantity of what the sample constitutes	100 CY	From where was the sample collected	Job Site
First name of sampler or witnessed by	Jarrad	Last name of sampler or witnessed by	McCabe
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Syar	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Concrete	The concrete mix design number	CT072CR5W
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	40143861
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	WB HWY 50 at Carson Court, Abutment 2	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2021-01-19-12

DIME Test ID: 2021-01-19-12-3

Testing Lab: RMA Group - Rancho Cordova

Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method

Test Release Date: 2021-04-03

Input Type: Calculated

Tester's full name: Jarrad McCabe

Date of test: 01/19/2021

Air Content: 1.4 %

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

Test was verified on 4/3/2021 ✔