DIME - Test Summary

Summary for Test 2023-08-28-76-2

Test performed: CTM 557-June 2020

Sample Taken Date	08/28/2023	Sample Unique Key	76
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	08/29/2023
Sample type	Quality Assurance	A brief description of the sample	LCB
The quantity of what the sample constitutes	10	From where was the sample collected	Job Site
First name of sampler or witnessed by	Manuel	Last name of sampler or witnessed by	Uy
Title of sampler		Telephone number of sampler
Laboratory sample identification	23-1296	Linked DIME Sample ID
The fabricator/manufacturer/facility name	N/A	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	G3-21-PCC-351
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	686
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	Concrete from wheelbarrow	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2023-08-28-76

DIME Test ID: 2023-08-28-76-2

Testing Lab: Alta Vista Solutions - Whittier

Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete

Test Release Date: 2023-11-16

Input Type: Measured

Tester's full name: Manuel Uy

Date of test: 08/28/2023

Temperature: 80 F

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

Test was verified on 11/16/2023 ✔