DIME - Test Summary

Summary for Test 2022-10-27-73-4

Test performed: CTM 504-June 2010

Project Identifiers	Project ID: 993446 DEA: 120J34U4 EFIS: 1218000034
DIST-CO-RTE-PM	12-ORA-55,55-29.6,R6.4/10.3
Award Date	05/27/2022
Closeout Date	Not set
Work Description	CONSTR BRIDGES, RW, SW, JPCP, HMA PVMT, DRAINAGE AND ELECT SYSTEMS.
Location Description	ORANGE COUNTY IN IRVINE, SANTA ANA, AND TUSTIN ON ROUTE 5 AT NEWPORT AVENUE UNDERCROSSING AND ON ROUTE 55 FROM 0.4 MILE NORTH OF ROUTE 55/405 SEPARATION TO 0.1 MILE SOUTH OF ROUTE 5/55 SEPARATION
QA Service Level	1 (Verified on 06/24/2022)

Sample Taken Date	10/27/2022	Sample Unique Key	73
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 concrete cylinders
The quantity of what the sample constitutes	3	From where was the sample collected	Job Site
First name of sampler or witnessed by	Ronald	Last name of sampler or witnessed by	Hernandez
Title of sampler	QC Field Technician	Telephone number of sampler
Laboratory sample identification	Set 1	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Job site	Transportation Laboratory (TL) Number	Unknown
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	00-0000
Structure name	Retaining Wall 386	Bid Item	Not set

Material Type	Concrete	The concrete mix design number	S85C440T18
The truck number from where the sample was collected	LOAD 1	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	STA 21-44 to 21-29	Where the material sample would have been placed if not sampled	Unknown
From Lot No.	Unknown	Bag Lot No.	Unknown

DIME Sample ID: 2022-10-27-73

DIME Test ID: 2022-10-27-73-4

Testing Lab: G3 Quality, Incorporated - Cerritos

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

Test Release Date: 2023-04-20

Input Type: Calculated

Tester's full name: Ronald Hernandez

Date of test: 10/27/2022

Air Content: 2.25 %

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

Test was verified on 4/20/2023 ✔