DIME - Test Summary

Summary for Test 2023-01-19-42-1

Test performed: CTM 557-June 2020

Project Identifiers	Project ID: 993235 DEA: 051H4504 EFIS: 0516000075
DIST-CO-RTE-PM	05-SB-154-R31.8/R32.1
Award Date	11/22/2021
Closeout Date	07/31/2024
Work Description	CONSTRUCT CIDH CONCRETE PILES AND STRUCTURAL CONCRETE BRIDGE.
Location Description	SANTA BARBARA COUNTY IN AND NEAR SANTA BARBARA FROM PRIMAVERA ROAD UNDERCROSSING TO LA COLINA ROAD UNDERCROSSING
QA Service Level	1 (Verified on 10/06/2021)

Sample Taken Date	01/19/2023	Sample Unique Key	42
Date that the sample was received by the laboratory/organization performing the testing	01/19/2023	Sample type	Quality Assurance
A brief description of the sample	concrete	The quantity of what the sample constitutes	14 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	Cemex
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	1612111
The truck number from where the sample was collected	10070501	The batch plant ticket number from where the sample was collected	30597955
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: 2023-01-19-42

DIME Test ID: 2023-01-19-42-1

Testing Lab: CT D05 - Carpinteria Field Laboratory

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

Test Release Date: 2023-01-31

Input Type: Measured

Tester's full name: Tom Cromwell

Date of test: 01/19/2023

Temperature: 60 F

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

Test was verified on 1/31/2023 ✔