DIME - Test Summary

Summary for Test 2023-02-07-39-1

Test performed: CTM 504-June 2010

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	02/07/2023	Sample Unique Key	39
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	02/09/2023
Sample type	Quality Assurance	A brief description of the sample	CRCP Concrete
The quantity of what the sample constitutes	250 CY	From where was the sample collected	Supplier
First name of sampler or witnessed by	Dorell	Last name of sampler or witnessed by	Harper
Title of sampler		Telephone number of sampler	6692889248
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Granites Portable Plant	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	213R
The truck number from where the sample was collected	1983	The batch plant ticket number from where the sample was collected	12018
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: 2023-02-07-39

DIME Test ID: 2023-02-07-39-1

Testing Lab: CT D05 - Carpinteria Field Laboratory

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

Test Release Date: 2023-02-15

Input Type: Measured

Tester's full name: Dorell Harper

Date of test: 02/07/2023

Air Content: 3.3 %

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

Test was verified on 2/15/2023 ✔