Summary for Test 2022-10-28-66-3
Test performed: CTM 557-June 2020Project Information
Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
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DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
Award Date | 05/27/2016 |
Closeout Date | 08/01/2023 |
Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
Location Description | LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK |
QA Service Level | 1 (Verified on 03/16/2016) |
Sample Information
Sample Taken Date | 10/28/2022 | Sample Unique Key | 66 |
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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 | 10/29/2022 |
Sample type | Quality Control | A brief description of the sample | 6x12 Cylinders |
The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Heather | Last name of sampler or witnessed by | Davidson |
Title of sampler | QC Field Technician | Telephone number of sampler | Unknown |
Laboratory sample identification | Set 1 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 00-0000 |
Structure name | Unknown |
Material Information
Material Type | Concrete | The concrete mix design number | G3-15-3600-590 |
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The truck number from where the sample was collected | Load 2 | The batch plant ticket number from where the sample was collected | 0 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Set 1 |
A detailed description of where the material sample was collected | NB RTE 5 at Knott and Valley View, Load 2 | Where the material sample would have been placed if not sampled | Unknown |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Test Details
DIME Sample ID: 2022-10-28-66
DIME Test ID: 2022-10-28-66-3
Testing Lab: G3 Quality, Incorporated - Cerritos
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: Calculated
Tester's full name: Heather Davidson
Date of test: 10/28/2022
Temperature: 84 F
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 3/1/2023 ✔