DIME - Test Summary

Summary for Test 2023-05-26-67-4

Test performed: CTM 504-June 2010

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 Taken Date	05/26/2023	Sample Unique Key	67
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	05/27/2023
Sample type	Quality Control	A brief description of the sample	6x12 cylinders
The quantity of what the sample constitutes	4	From where was the sample collected	Job Site
First name of sampler or witnessed by	Brandi	Last name of sampler or witnessed by	McGuire
Title of sampler	QC Field Technician	Telephone number of sampler
Laboratory sample identification	Set 4	Linked DIME Sample ID
The fabricator/manufacturer/facility name	job site	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name		Bid Item	Not set

Material Type	Concrete	The concrete mix design number	S85C440T19
The truck number from where the sample was collected	Load 33	The batch plant ticket number from where the sample was collected	0
Concrete batch plant		The fabricator/manufacturer designation for the sample	Set 4
A detailed description of where the material sample was collected	Truck, STA 122-50	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2023-05-26-67

DIME Test ID: 2023-05-26-67-4

Testing Lab: G3 Quality, Incorporated - Cerritos

Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method

Test Release Date: 2023-08-30

Input Type: Calculated

Tester's full name: Brandi McGuire

Date of test: 05/26/2023

Air Content: 1.9 %

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

Test was verified on 8/30/2023 ✔