Summary for Test 2022-10-20-84-5
Test performed: CTM 556-January 2018Project Information
| 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 Information
| Sample Taken Date | 10/20/2022 | Sample Unique Key | 84 |
|---|---|---|---|
| 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 | 10/21/2022 |
| Sample type | Quality Control | A brief description of the sample | 6x12 Cement Cylinders |
| The quantity of what the sample constitutes | 7 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Julian | Last name of sampler or witnessed by | Carmona |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Trial Batch | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | S72C44T12 |
|---|---|---|---|
| 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 | The fabricator/manufacturer designation for the sample | Set 1 | |
| A detailed description of where the material sample was collected | Trial Batch | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Test Details
DIME Sample ID: 2022-10-20-84
DIME Test ID: 2022-10-20-84-5
Testing Lab: G3 Quality, Incorporated - Cerritos
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Test Release Date: 2023-07-27
Test Results
Input Type: Calculated
Tester's full name: Julian Carmona
Date of test: 10/20/2022
Slump: 4.5 inch
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 7/27/2023 ✔
