DIME - Test Summary

Summary for Test 2022-10-26-65-6

Test performed: CTM 556-January 2018

Project Identifiers	Project ID: 214663 DEA: 081F7304 EFIS: 0815000034
DIST-CO-RTE-PM	08-SBD-215-2.7
Award Date	03/04/2021
Closeout Date	06/03/2025
Work Description	REPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA.
Location Description	SAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING
QA Service Level	1 (Verified on 02/24/2021)

Sample Taken Date	10/26/2022	Sample Unique Key	65
Date that the sample was received by the laboratory/organization performing the testing	10/27/2022	Sample type	Quality Control
A brief description of the sample	6x12 concrete cylinders	The quantity of what the sample constitutes	6
From where was the sample collected	Job Site	First name of sampler or witnessed by	Ronald
Last name of sampler or witnessed by	Hernandez	Title of sampler	QC Field Technician
Telephone number of sampler	Unknown	Laboratory sample identification	Set 1
Linked DIME Sample ID	Unknown	The fabricator/manufacturer/facility name	Jobsite
Transportation Laboratory (TL) Number	Unknown	Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown
Structure unique identifier	00-0000	Structure name
Bid Item	Not set

Material Type	Concrete	The concrete mix design number	1610974
The truck number from where the sample was collected	Load 2	The batch plant ticket number from where the sample was collected	0
Concrete batch plant	Unknown	The fabricator/manufacturer designation for the sample	Set 1
A detailed description of where the material sample was collected	Truck 2, STA 105-64 to 106-36	Where the material sample would have been placed if not sampled	Unknown
From Lot No.	Unknown	Bag Lot No.	Unknown

DIME Sample ID: 2022-10-26-65

DIME Test ID: 2022-10-26-65-6

Testing Lab: G3 Quality, Incorporated - Cerritos

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

Test Release Date: 2022-12-01

Input Type: Calculated

Tester's full name: Ronald Hernadez

Date of test: 10/26/2022

Slump: 5 inch

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

Test was verified on 12/1/2022 ✔