Summary for Test 2023-11-20-67-2
Test performed: CTM 557-June 2020Project Information
| Project Identifiers | Project ID: 993387 DEA: 07323404 EFIS: 0716000064 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-R59.5/R67.9 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | PLACE CULVERT, REPLACE DRAINAGE SYSTEM, RECONST ROADWAY & EMBANKMENT. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM LAKE HUGHES ROAD UNDERCROSSING TO 1.9 MILES NORTH OF TEMPLIN HIGHWAY UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/06/2021) |
Sample Information
| Sample Taken Date | 11/20/2023 | Sample Unique Key | 67 |
|---|---|---|---|
| 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 | 11/20/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete beams |
| The quantity of what the sample constitutes | 10 cubic yards | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Dominic | Last name of sampler or witnessed by | Montemayor |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 23-2062 | 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 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | G3-21-CTS-220 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | wheelbarrow | 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: 2023-11-20-67
DIME Test ID: 2023-11-20-67-2
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: 2024-02-27
Test Results
Input Type: Measured
Tester's full name: Dominic Montemayor
Date of test: 11/30/2023
Temperature: 61 F
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 2/27/2024 ✔