DIME - Test Summary

Summary for Test 2023-03-30-59-2

Test performed: CTM 557-June 2020

Project Identifiers	Project ID: 993239 DEA: 100P5404 EFIS: 1013000251
DIST-CO-RTE-PM	10-SJ,STA-5,99-6.2/6.6,R17.7/R18.1
Award Date	10/29/2021
Closeout Date	08/30/2023
Work Description	REMOVE & PLACE STRUCTURAL CONCRETE BRIDGE; AND PLACE CONCRETE BARRIER.
Location Description	SAN JOAQUIN AND STANISLAUS COUNTIES ON ROUTE 5 FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF ROUTE 5/33 SEPARATION AND OVERHEAD AND ON ROUTE 99 FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF WEST MODESTO OVERHEAD
QA Service Level	1 (Verified on 09/27/2021)

Sample Taken Date	03/30/2023	Sample Unique Key	59
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	03/30/2023
Sample type	Quality Control	A brief description of the sample	Concrete
The quantity of what the sample constitutes	1 Day	From where was the sample collected	Job Site
First name of sampler or witnessed by	Erik	Last name of sampler or witnessed by	Haagensen
Title of sampler		Telephone number of sampler
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

Material Type	Concrete	The concrete mix design number	1617136
The truck number from where the sample was collected	10069136	The batch plant ticket number from where the sample was collected	30674173
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	S.B. Rte 5 Over Rte 33	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2023-03-30-59

DIME Test ID: 2023-03-30-59-2

Testing Lab: RMA Group - Rancho Cordova

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

Test Release Date: 2023-04-12

Input Type: Calculated

Tester's full name: Erik Haagensen

Date of test: 03/30/2023

Temperature: 64 F

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

Test was verified on 4/12/2023 ✔