DIME - Test Summary

Summary for Test 2022-12-14-23-1

Test performed: ASTM C143-15a

Project Identifiers	Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169
DIST-CO-RTE-PM	05-SB-101-4.4/R7.7
Award Date	03/01/2021
Closeout Date	Not set
Work Description	Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description	101 freeway in Summerland, CA
QA Service Level	1 (Verified on 05/06/2021)

Sample Taken Date	12/14/2022	Sample Unique Key	23
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	12/14/2022
Sample type	Quality Assurance	A brief description of the sample	concrete
The quantity of what the sample constitutes	330 CY	From where was the sample collected	Job Site
First name of sampler or witnessed by	Tom	Last name of sampler or witnessed by	Cromwell
Title of sampler		Telephone number of sampler	8056991626
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Martin Marietta Goleta	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	725A1Z0P
The truck number from where the sample was collected	545	The batch plant ticket number from where the sample was collected	3432483
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	Discharge from concrete truck into wheelbarrow.	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2022-12-14-23

DIME Test ID: 2022-12-14-23-1

Testing Lab: CT D05 - Carpinteria Field Laboratory

Test Method: ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete

Test Release Date: 2023-01-11

Input Type: Measured

Tester's full name: Tom Cromwell

Date of test: 12/14/2022

Slump: 5.5 inch

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

Test was verified on 1/11/2023 ✔