DIME - Test Summary

Summary for Test 2023-05-23-85-2

Test performed: CTM 533-June 2010

Project Identifiers	Project ID: 215129 DEA: 050N73U4 EFIS: 0520000166
DIST-CO-RTE-PM	05-SB-101-7.3/9.6
Award Date	10/22/2020
Closeout Date	12/11/2023
Work Description	!!Please CC Office Engineer Gabrielle Herrera on reports to RE and SR!! Segment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar,
Location Description	SUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE
QA Service Level	1 (Verified on 08/24/2020)

Sample Taken Date	05/23/2023	Sample Unique Key	85
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	05/24/2023
Sample type	Department Acceptance	A brief description of the sample	Concrete Sample
The quantity of what the sample constitutes	400 CY	From where was the sample collected	Supplier
First name of sampler or witnessed by	Dorell	Last name of sampler or witnessed by	Harper
Title of sampler		Telephone number of sampler	6692889248
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Granites Portable Plant	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	231R
The truck number from where the sample was collected	1983	The batch plant ticket number from where the sample was collected	12678
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	Discharge from concrete truck into wheelbarrow.	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2023-05-23-85

DIME Test ID: 2023-05-23-85-2

Testing Lab: CT D05 - Carpinteria Field Laboratory

Test Method: CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete

Test Release Date: 2023-06-30

Input Type: Calculated

Tester's full name: Dorell Harper

Date of test: 05/24/2023

Ball penetration in freshly mixed concrete (average): 1.75 inch

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

Test was verified on 6/30/2023 ✔