Summary for Test 2023-05-15-5-7
Test performed: CTM 556-January 2018Project Information
| Project Identifiers | Project ID: 215396 DEA: 042K8404 EFIS: 0417000031 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-29,80-0.0,0.8/1.6 |
| Award Date | 03/26/2021 |
| Closeout Date | 02/16/2024 |
| Work Description | HMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR. |
| Location Description | SOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 01/25/2021) |
Sample Information
| Sample Taken Date | 05/15/2023 | Sample Unique Key | 5 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 05/16/2023 | Sample type | Quality Assurance |
| A brief description of the sample | Stage 3 Closure Pour | The quantity of what the sample constitutes | 18 |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Angelo |
| Last name of sampler or witnessed by | Perez | Title of sampler | SR |
| Telephone number of sampler | 510-393-9319 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Central Martinez | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | 23-0259 | Structure name | Route 80/29 Separation |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | D101C5RS |
|---|---|---|---|
| The truck number from where the sample was collected | 6203 | The batch plant ticket number from where the sample was collected | 339865 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | concrete sample from wheelbarrow | Where the material sample would have been placed if not sampled | stage 3 closure pour L EOD |
| 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: 2023-05-15-5
DIME Test ID: 2023-05-15-5-7
Testing Lab: CT D04 - Fairfield Construction Field Office 59-545
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Test Release Date: 2023-05-24
Test Results
Input Type: Measured
Tester's full name: Angelo Perez
Date of test: 05/15/2023
Slump: 4.25 inch
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/24/2023 ✔