DIME - Test Summary

Summary for Test 2022-01-17-17-1

Test performed: CTM 557-June 2020

Project Identifiers	Project ID: 215145 DEA: 030H4604 EFIS: 0315000174
DIST-CO-RTE-PM	03-PLA-80-2.6/3.1
Award Date	11/16/2020
Closeout Date	08/24/2022
Work Description	WIDEN ON-RAMP AND REPLACE BRIDGE.
Location Description	PLACER COUNTY IN ROSEVILLE AT THE ATLANTIC STREET ON RAMP
QA Service Level	1 (Verified on 10/05/2020)

Sample Taken Date	01/17/2022	Sample Unique Key	17
Date that the sample was received by the laboratory/organization performing the testing	01/17/2022	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	Jose
Last name of sampler or witnessed by	Murillo	Title of sampler
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Folsom Ready Mix
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	Z78Q9F1
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	4038244
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	Stage number 2 Stem and Soffit	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2022-01-17-17

DIME Test ID: 2022-01-17-17-1

Testing Lab: RMA Group - Rancho Cordova

Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete

Test Release Date: 2022-04-13

Input Type: Calculated

Tester's full name: JOSE MURILLO

Date of test: 01/17/2022

Temperature: 56 F

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

Test was verified on 4/13/2022 ✔