DIME - Test Summary

Summary for Test 2023-04-01-11-1

Test performed: CTM 557-June 2020

Project Identifiers	Project ID: 215396 DEA: 042K8404 EFIS: 0417000031
DIST-CO-RTE-PM	04-SOL-29,80-0.0,0.8/1.6
Award Date	03/26/2021
Closeout Date	02/16/2024
Work Description	HMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR.
Location Description	SOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING
QA Service Level	1 (Verified on 01/25/2021)

Sample Taken Date	04/01/2023	Sample Unique Key	11
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	04/01/2023
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	Erik	Last name of sampler or witnessed by	Haagensen
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Central	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	D101C5RS
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	0309431
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.

DIME Sample ID: 2023-04-01-11

DIME Test ID: 2023-04-01-11-1

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: 2023-12-04

Input Type: Calculated

Tester's full name: Erik Haagensen

Date of test: 04/01/2023

Temperature: 62 F

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

Test was verified on 12/4/2023 ✔