DIME - Test Summary

Summary for Test 2021-10-09-2-4

Test performed: ASTM C138-17a

Project Identifiers	Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169
DIST-CO-RTE-PM	05-SB-101-4.4/R7.7
Award Date	06/05/2021
Closeout Date	Not set
Work Description	Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description	101 freeway in Summerland, CA
QA Service Level	1 (Verified on 05/06/2021)

Sample Taken Date	10/09/2021	Sample Unique Key	2
Date that the sample was received by the laboratory/organization performing the testing	10/11/2021	Sample type	Quality Control
A brief description of the sample	PCC 6''x12'' test cylinder	The quantity of what the sample constitutes	Girder
From where was the sample collected	Job Site	First name of sampler or witnessed by	Roberto
Last name of sampler or witnessed by	Reyes	Title of sampler	QC Technician
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Con-Fab California LLC
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	SCCS950F
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	1809
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	Casting Bed 1 East	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2021-10-09-2

DIME Test ID: 2021-10-09-2-4

Testing Lab: Con-Fab California Corporation - Shafter

Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete

Test Release Date: 2021-10-12

Input Type: Calculated

Tester's full name: Roberto Reyes Perez

Date of test: 10/09/2021

Identification of concrete represented by the sample: Girder

Volume of the measure: 0.250 ft^3

Density of concrete: 151.2 lb/ft^3

Yield of concrete: no data

Relative yield of the batch: no data

Cement content: no data

Air content: 1.6 %

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

Test was verified on 10/12/2021 ✔