DIME - Test Summary

Summary for Test 2016-06-03-28-5

Test performed: ASTM C143-15a

Project Identifiers	Project ID: 209141 DEA: 07215954 EFIS: 0700001835
DIST-CO-RTE-PM	07-LA-5-0.0/7.6
Award Date	04/24/2014
Closeout Date	07/14/2022
Work Description	WIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location Description	LOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
QA Service Level	1 (Verified on 06/02/2014)

Sample Taken Date	06/03/2016	Sample Unique Key	28
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	06/04/2016
Sample type	Quality Control	A brief description of the sample	6x12 concrete cylinders
The quantity of what the sample constitutes	6	From where was the sample collected	Job Site
First name of sampler or witnessed by	Mary	Last name of sampler or witnessed by	Greer
Title of sampler	QC Field Technician	Telephone number of sampler	Unknown
Laboratory sample identification	Set 4	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	Unknown
Structure name	Unknown

Material Type	Concrete	The concrete mix design number	G3-15-3600-590
The truck number from where the sample was collected	1151	The batch plant ticket number from where the sample was collected	040796
Concrete batch plant	Unknown	The fabricator/manufacturer designation for the sample	Set 4
A detailed description of where the material sample was collected	RW330	Where the material sample would have been placed if not sampled	Unknown
From Lot No.	Unknown	Bag Lot No.	Unknown

DIME Sample ID: 2016-06-03-28

DIME Test ID: 2016-06-03-28-5

Testing Lab: G3 Quality, Incorporated - Cerritos

Test Method: ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete

Test Release Date: 2017-01-13

Input Type: Calculated

Tester's full name: Mary Greer

Date of test: 06/03/2016

Slump: 5 inch

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

Test was verified on 1/13/2017 ✔