DIME - Test Summary

Summary for Test 2023-06-21-16-2

Test performed: ASTM C143-20

Sample Taken Date	06/21/2023	Sample Unique Key	16
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	06/22/2023
Sample type	Quality Assurance	A brief description of the sample	3 - 4x8 concrete cylinder molds
The quantity of what the sample constitutes	11 CY	From where was the sample collected	Job Site
First name of sampler or witnessed by	Jeremy	Last name of sampler or witnessed by	Light
Title of sampler	SR	Telephone number of sampler	15103939273
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Shamrock Materials Petaluma	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name	Emergency soldier pile wall	Bid Item	Not set

Material Type	Concrete	The concrete mix design number	SL-4700CG
The truck number from where the sample was collected	2453	The batch plant ticket number from where the sample was collected	368886
Concrete batch plant	138 Petaluma	The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	CHUTE FROM TRUCK	Where the material sample would have been placed if not sampled	Pile 5
From Lot No.		Bag Lot No.

DIME Sample ID: 2023-06-21-16

DIME Test ID: 2023-06-21-16-2

Testing Lab: CT SC - 3672 - Petaluma

Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete

Test Release Date: 2023-11-13

Input Type: Measured

Tester's full name: Jeremy Light

Date of test: 06/21/2023

Slump: 5 inch

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

Test was verified on 11/13/2023 ✔