Summary for Test 2023-06-28-103-1
Test performed: CTM 557-June 2020Project Information
| Project Identifiers | Project ID: 994248 DEA: 051K1204 EFIS: 0518000125 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-9-1.0,4.0 |
| Award Date | 12/07/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT SIDEHILL VIADUCTS. |
| Location Description | SANTA CRUZ COUNTY AT 0.5 MILE NORTH OF VERNON STREET AND AT 0.8 MILE SOUTH OF GLENGARRY ROAD |
| QA Service Level | 1 (Verified on 09/19/2022) |
Sample Information
| Sample Taken Date | 06/28/2023 | Sample Unique Key | 103 |
|---|---|---|---|
| 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 | 06/28/2023 |
| Sample type | Quality Control | A brief description of the sample | concrete |
| The quantity of what the sample constitutes | 100 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Fernando | Last name of sampler or witnessed by | Vega |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Las Animas Concrete | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | C1S30 |
|---|---|---|---|
| The truck number from where the sample was collected | 95 | The batch plant ticket number from where the sample was collected | 373584 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete Truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Test Details
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DIME Sample ID: 2023-06-28-103
DIME Test ID: 2023-06-28-103-1
Testing Lab: RMA Group - Rancho Cordova
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Test Release Date: 2023-11-10
Test Results
Input Type: Calculated
Tester's full name: Fernando Vega
Date of test: 06/28/2023
Temperature: 76 F
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 11/10/2023 ✔