DIME - Test Summary

Summary for Test 2022-01-31-6-1

Test performed: CTM 556-January 2018

Project Identifiers	Project ID: 214991 DEA: 044G2104 EFIS: 0412000310
DIST-CO-RTE-PM	04-NAP-121-0.5/1
Award Date	05/19/2021
Closeout Date	10/09/2024
Work Description	WIDEN ROADWAY WITH HMA & REPLACE CULVERT WITH STRUCTURAL CONC BRIDGE.
Location Description	NAPA COUNTY NEAR NAPA FROM 0.2 MILE SOUTH TO 0.3 MILE NORTH OF HUICHICA CREEK BRIDGE
QA Service Level	1 (Verified on 10/19/2020)

Sample Taken Date	01/31/2022	Sample Unique Key	6
Date that the sample was received by the laboratory/organization performing the testing	02/01/2022	Sample type	Quality Control
A brief description of the sample	1CY of Concrete taken from middle of batching	The quantity of what the sample constitutes	1 CY of Concrete for Testing
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Mark Patrick
Last name of sampler or witnessed by	Baddu	Title of sampler
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	VER-90LV
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	4399
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	Bed 2, 2nd Truck	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2022-01-31-6

DIME Test ID: 2022-01-31-6-1

Testing Lab: Con-Fab California Corporation - Lathrop

Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete

Test Release Date: 2022-02-01

Input Type: Calculated

Tester's full name: Ferdinand Rosal

Date of test: 01/31/2022

Slump: 24.5 inch

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

Test was verified on 2/1/2022 ✔