DIME - Test Summary

Summary for Test 2023-07-28-37-2

Test performed: ASTM C143-20

Project Identifiers	Project ID: 993333 DEA: 04264724 EFIS: 0419000068
DIST-CO-RTE-PM	04-MRN-101-R20.8/27.1
Award Date	04/26/2022
Closeout Date	Not set
Work Description	CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location Description	MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
QA Service Level	1 (Verified on 11/01/2021)

Sample Taken Date	07/28/2023	Sample Unique Key	37
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	07/29/2023
Sample type	Quality Assurance	A brief description of the sample	3 4x8 concrete cylinder molds
The quantity of what the sample constitutes	RW1 Footing	From where was the sample collected	Job Site
First name of sampler or witnessed by	Dhiren	Last name of sampler or witnessed by	Rajmohan
Title of sampler	Assistant Structure Representative	Telephone number of sampler	15103856774
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	Retaining Wall 1

Material Type	Concrete	The concrete mix design number	SL-4201CG
The truck number from where the sample was collected	2438	The batch plant ticket number from where the sample was collected	397396
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	RW1 Footing
From Lot No.		Bag Lot No.

DIME Sample ID: 2023-07-28-37

DIME Test ID: 2023-07-28-37-2

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: Dhiren Rajmohan

Date of test: 07/28/2023

Slump: 3.75 inch

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

Test was verified on 11/13/2023 ✔