Summary for Test 2024-08-28-29-2
Test performed: CTM 556-January 2018Project Information
| Project Identifiers | Project ID: 995028 DEA: 010H4314 EFIS: 0117000214 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-299-R11.0/R11.4 |
| Award Date | 09/26/2023 |
| Closeout Date | 09/05/2025 |
| Work Description | Project Name: Korbel Wall (Description of Work: CONSTRUCT RETAINING WALL, RECONSTRUCT ROADWAY, & REPLACE CULVERT) |
| Location Description | HUMBOLDT COUNTY ABOUT 6 MILES EAST OF BLUE LAKE FROM NORTH FORK MAD RIVER BRIDGE TO 0.4 MILE EAST OF NORTH FORK MAD RIVER BRIDGE |
| QA Service Level | 1 (Verified on 08/07/2023) |
Sample Information
| Sample Taken Date | 08/28/2024 | Sample Unique Key | 29 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 08/29/2024 | Sample type | Acceptance |
| A brief description of the sample | Type II-V Cement | The quantity of what the sample constitutes | 50 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Sam |
| Last name of sampler or witnessed by | Kaplan | Title of sampler | ASR |
| Telephone number of sampler | (707)496-0826 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Eureka Ready mix | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | 12-0E0058 | Structure name | Korbel Wall |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | E400F |
|---|---|---|---|
| The truck number from where the sample was collected | Load 2 Truck 84 | The batch plant ticket number from where the sample was collected | 38149 |
| Concrete batch plant | Arcata Eureka Ready Mix | The fabricator/manufacturer designation for the sample | Batch |
| A detailed description of where the material sample was collected | Concrete Truck Chute | Where the material sample would have been placed if not sampled | Waler 3 |
| From Lot No. | Bag Lot No. |
Test Details
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DIME Sample ID: 2024-08-28-29
DIME Test ID: 2024-08-28-29-2
Testing Lab: CT D01 - District 1 Materials Laboratory
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Test Release Date: 2024-08-29
Test Results
Input Type: Measured
Tester's full name: Sam Kaplan
Date of test: 08/28/2024
Slump: 6 inch
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/29/2024 ✔