DIME - Test Summary

Summary for Test 2022-10-13-59-3

Test performed: CTM 557-June 2020

Project Identifiers	Project ID: 214524 DEA: 07304504 EFIS: 0714000067
DIST-CO-RTE-PM	07-LA-57-R0.0/R4.5
Award Date	06/11/2020
Closeout Date	04/03/2025
Work Description	CONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK.
Location Description	LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION
QA Service Level	1 (Verified on 08/12/2020)

Sample Taken Date	10/13/2022	Sample Unique Key	59
Date that the sample was received by the laboratory/organization performing the testing	10/14/2022	Sample type	Quality Assurance
A brief description of the sample	JPCP Beams	The quantity of what the sample constitutes	10 Cubic Yards
From where was the sample collected	Job Site	First name of sampler or witnessed by	Fernando
Last name of sampler or witnessed by	Carranza	Title of sampler
Telephone number of sampler		Laboratory sample identification	22-2727
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Vanguard Batch Plant
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	570303SL
The truck number from where the sample was collected	1991	The batch plant ticket number from where the sample was collected	12333
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	Wheelbarrow	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2022-10-13-59

DIME Test ID: 2022-10-13-59-3

Testing Lab: CT D07 - Materials Field Laboratory, Unit 1953

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

Test Release Date: 2022-11-15

Input Type: Measured

Tester's full name: Fernando Carranza

Date of test: 10/13/2022

Temperature: 80 F

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

Test was verified on 11/15/2022 ✔