DIME - Test Summary

Summary for Test 2022-02-03-37-5

Test performed: CTM 518-June 2010

Project Identifiers	Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196
DIST-CO-RTE-PM	08-RIV-10-6.7/R25.1
Award Date	11/26/2019
Closeout Date	11/01/2023
Work Description	Remove concrete pavement and base, and place HMA and JPCP
Location Description	ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
QA Service Level	1 (Verified on 01/09/2020)

Sample Taken Date	02/03/2022	Sample Unique Key	37
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	02/04/2022
Sample type	Quality Assurance	A brief description of the sample	JPCP beams
The quantity of what the sample constitutes	4 Beams	From where was the sample collected	Job Site
First name of sampler or witnessed by	Fernando/ Ruben	Last name of sampler or witnessed by	Carranza/ Lopez
Title of sampler		Telephone number of sampler	2132384209
Laboratory sample identification	163JA1,163JA2, 163JB1, 163JB2	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Coffman Specialties, 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	1906-2
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	TTI
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	On Job Site at Concrete Truck	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2022-02-03-37

DIME Test ID: 2022-02-03-37-5

Testing Lab: CT D08 - Fontana Field Testing Laboratory

Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete

Test Release Date: 2022-02-22

Input Type: Calculated

Tester's full name: F. Carranza/ R. Lopez

Date of test: 02/03/2022

Unit weight of the concrete: 146 lb/ft^3

Cement content: 615.9 lb/yd^3

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

Test was verified on 2/22/2022 ✔