DIME - Test Summary

Summary for Test 2022-03-07-31-4

Test performed: CTM 422-June 2014

Project Identifiers	Project ID: 215709 DEA: 051H4604 EFIS: 0516000077
DIST-CO-RTE-PM	05-MON-1-63.0
Award Date	07/07/2021
Closeout Date	12/14/2023
Work Description	REHAB BRIDGE STRUCTURE AND ELECTROCHEMICAL CHLORIDE EXTRACTION.
Location Description	MONTEREY COUNTY ABOUT 11.3 MILES SOUTH OF CARMEL AT GARRAPATA CREEK BRIDGE
QA Service Level	1 (Verified on 05/12/2021)

Sample Taken Date	03/07/2022	Sample Unique Key	31
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	03/01/2022
Sample type	Quality Assurance	A brief description of the sample	4x8 concrete cylinders
The quantity of what the sample constitutes	6 cylinders	From where was the sample collected	Other
First name of sampler or witnessed by	Spencer	Last name of sampler or witnessed by	Adams
Title of sampler	MREA	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Concrete Lab	Transportation Laboratory (TL) Number	C683294
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Concrete	The concrete mix design number	SikaTop 123 Modified
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	Unknown
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	Mixer	Where the material sample would have been placed if not sampled
From Lot No.	01212201	Bag Lot No.	01212201

DIME Sample ID: 2022-03-07-31

DIME Test ID: 2022-03-07-31-4

Testing Lab: CT HQ - Sacramento Concrete Testing Laboratory

Test Method: CTM 422-June 2014: Method of Testing Soils and Waters for Chloride Content

Test Release Date: 2022-04-06

Material type: Concrete

Input Type: Calculated

Tester's full name: Spencer Adams

Date of test: 04/06/2022

Amount of the analyte in the sample: 429

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

Test was verified on 4/6/2022 ✔