DIME - Test Summary

Summary for Test 2022-10-19-83-2

Test performed: CTM 504-June 2010

Project Identifiers	Project ID: 215220 DEA: 07210624 EFIS: 0719000068
DIST-CO-RTE-PM	07-LA,SBD-71-1.8/R4.7&R0.0/R0.2
Award Date	02/05/2021
Closeout Date	Not set
Work Description	PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
Location Description	IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
QA Service Level	1 (Verified on 03/24/2021)

Sample Taken Date	10/19/2022	Sample Unique Key	83
Date that the sample was received by the laboratory/organization performing the testing	10/20/2022	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	Supplier	First name of sampler or witnessed by	Marcus
Last name of sampler or witnessed by	Molina	Title of sampler
Telephone number of sampler		Laboratory sample identification	22-2801
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Vangaurd 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	57030SL
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	12385
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: 2022-10-19-83

DIME Test ID: 2022-10-19-83-2

Testing Lab: Alta Vista Solutions - Whittier

Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method

Test Release Date: 2023-01-04

Input Type: Measured

Tester's full name: Marcus Molina

Date of test: 10/19/2022

Air Content: 1.6 %

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

Test was verified on 1/4/2023 ✔