DIME - Test Summary

Summary for Test 2021-04-26-27-3

Test performed: ASTM C143-15a

Project Identifiers	Project ID: 214355 DEA: 120K0214 EFIS: 1214000096
DIST-CO-RTE-PM	12-ORA-5-12.4/14.5
Award Date	12/20/2019
Closeout Date	Not set
Work Description	South County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. \| Add one lane btwn 73 & Oso PKWY
Location Description	ORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING
QA Service Level	1 (Verified on 10/31/2019)

Sample Taken Date	04/26/2021	Sample Unique Key	27
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	04/26/2021
Sample type	Quality Control	A brief description of the sample	6x12 Cylinders
The quantity of what the sample constitutes	33.6 CY	From where was the sample collected	Fabricator
First name of sampler or witnessed by	Augusto	Last name of sampler or witnessed by	Rios, Jr.
Title of sampler	QC Insptector	Telephone number of sampler
Laboratory sample identification	429	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Coreslab Structures L A Inc	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	212
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	78480 - 78482
Concrete batch plant		The fabricator/manufacturer designation for the sample	130
A detailed description of where the material sample was collected	Bed 9 from front discharge RMT into wheelbarrow	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2021-04-26-27

DIME Test ID: 2021-04-26-27-3

Testing Lab: Coreslab

Test Method: ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete

Test Release Date: 2021-12-08

Input Type: Calculated

Tester's full name: Augusto Rios, Jr.

Date of test: 04/26/2021

Slump: 21.75 inch

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

Test was verified on 12/8/2021 ✔