DIME - Test Summary

Summary for Test 2023-10-03-103-1

Test performed: CTM 504-June 2010

Project Identifiers	Project ID: 993608 DEA: 081H8204 EFIS: 0817000138
DIST-CO-RTE-PM	08-SBD-15,138-R21.6,R14.8/R15.1
Award Date	08/26/2022
Closeout Date	03/28/2024
Work Description	SIGNAL AND LIGHTING SYSTEM, HMA, JPCP, AND ROADWAY EXCAVATION.
Location Description	SAN BERNARDINO COUNTY IN PHELAN ON ROUTE 138 FROM 0.3 MILE WEST OF ROUTE 138/15 SEPARATION TO ROUTE 138/15 SEPARATION AND ON ROUTE 15 SOUTHBOUND EXIT RAMP AT ROUTE 138
QA Service Level	1 (Verified on 11/16/2022)

Sample Taken Date	10/03/2023	Sample Unique Key	103
Date that the sample was received by the laboratory/organization performing the testing	10/04/2023	Sample type	Department Acceptance
A brief description of the sample	Concrete beams	The quantity of what the sample constitutes	2 Beams
From where was the sample collected	Job Site	First name of sampler or witnessed by	K. Patel /
Last name of sampler or witnessed by	C. Ozuruigbo	Title of sampler	TET
Telephone number of sampler		Laboratory sample identification	2H-A1, 2H-A2
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Robertson's Ready Mix - Adelanto
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	RRM22127
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	7951770
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	back of concrete truck	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2023-10-03-103

DIME Test ID: 2023-10-03-103-1

Testing Lab: CT D08 - Fontana Field Testing Laboratory

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

Test Release Date: 2023-11-22

Input Type: Calculated

Tester's full name: K. Patel, C. Ozuruigbo

Date of test: 10/03/2023

Air Content: 1.2 %

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

Test was verified on 11/22/2023 ✔