Summary for Test 2023-02-28-12-1
Test performed: CTM 557-June 2020Project Information
| Project Identifiers | Project ID: 215620 DEA: 01436404 EFIS: 0100000193 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-35.8/36.5 |
| Award Date | 07/11/2022 |
| Closeout Date | Not set |
| Work Description | Dr. Fine Bridge Replacement |
| Location Description | DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER. |
| QA Service Level | 1 (Verified on 03/26/2021) |
Sample Information
| Sample Taken Date | 02/28/2023 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 02/28/2023 |
| Sample type | Quality Assurance | A brief description of the sample | CIP Concrete |
| The quantity of what the sample constitutes | 46 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Tance | Last name of sampler or witnessed by | Singletary |
| Title of sampler | ASR | Telephone number of sampler | 4074628500 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Tidewater Starry pit | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | DS-0001 | Structure unique identifier | 01-0041 |
| Structure name | Dr Fine Temporary Bridge | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SR3-8CIDH |
|---|---|---|---|
| The truck number from where the sample was collected | 109 | The batch plant ticket number from where the sample was collected | 57578 |
| Concrete batch plant | Stary Plant | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | Temp Abutment 1 RT CIDH |
| From Lot No. | Bag Lot No. |
Test Details
Test Details QR Code
Scan this code to open this Test Details view on another device.
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
DIME Sample ID: 2023-02-28-12
DIME Test ID: 2023-02-28-12-1
Testing Lab: CT D01 - Crescent City Field Laboratory
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Test Release Date: 2023-03-01
Test Results
Input Type: Measured
Tester's full name: Tance Singletary
Date of test: 02/28/2023
Temperature: 56 F
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 3/1/2023 ✔