DIME - Test Summary

Summary for Test 2023-10-19-69-5

Test performed: CTM 504-June 2010

Project Identifiers	Project ID: 993141 DEA: 060V1204 EFIS: 0616000207
DIST-CO-RTE-PM	06-MAD-99-R6.9/R7.6
Award Date	06/22/2022
Closeout Date	Not set
Work Description	Cottonwood Creek Bridge Replacement - REPLACE BRIDGES AND CONSTRUCT RETAINING WALLS.
Location Description	MADERA COUNTY NEAR MADERA FROM 0.4 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO 0.1 MILE NORTH OF AVENUE 12 OVERCROSSING
QA Service Level	1 (Verified on 07/28/2021)

Sample Taken Date	10/19/2023	Sample Unique Key	69
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	10/20/2023
Sample type	Quality Assurance	A brief description of the sample	4x8 concrete cylinders
The quantity of what the sample constitutes	7	From where was the sample collected	Job Site
First name of sampler or witnessed by	Allante	Last name of sampler or witnessed by	Blocker
Title of sampler	QC Field Technician	Telephone number of sampler
Laboratory sample identification	Mix ND20507	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Builders Concrete Sanger	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	ND20507
The truck number from where the sample was collected	Load 6	The batch plant ticket number from where the sample was collected	0
Concrete batch plant		The fabricator/manufacturer designation for the sample	Set 1
A detailed description of where the material sample was collected	Bridge Deck	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2023-10-19-69

DIME Test ID: 2023-10-19-69-5

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: 2023-12-07

Input Type: Calculated

Tester's full name: Allante Blocker

Date of test: 10/19/2023

Air Content: 2 %

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

Test was verified on 12/7/2023 ✔