DIME - Test Summary

Summary for Test 2025-04-18-55-2

Test performed: CTM 504-June 2010

Project Identifiers	Project ID: 994588 DEA: 081H3904 EFIS: 0817000032
DIST-CO-RTE-PM	08-SBD-15-R20.5/R21.6,R25.5/R30.7
Award Date	07/13/2023
Closeout Date	Not set
Work Description	CONSTRUCT BUILDING, ROADWAY EXC, JPCP, AND TEMPORARY BARRIER SYSTEM.
Location Description	SAN BERNARDINO COUNTY FROM 0.6 MILE NORTH OF CLEGHORN ROAD UNDERCROSSING TO 0.5 MILE SOUTH OF ROUTE 138 AND FROM 0.5 MILE SOUTH OF TRUCK SAFETY CHECK AREA TO 0.4 MILE NORTH OF OAK HILL ROAD OVERCROSSING
QA Service Level	1 (Verified on 08/02/2023)

Sample Taken Date	04/18/2025	Sample Unique Key	55
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	04/18/2025
Sample type	Acceptance	A brief description of the sample	#1-2 Fabricated @ 01:00am
The quantity of what the sample constitutes	1 Set of 3 - 6X6X21 Rapid Set Concrete Beams	From where was the sample collected	Job Site
First name of sampler or witnessed by	Zacarias	Last name of sampler or witnessed by	Flores
Title of sampler		Telephone number of sampler
Laboratory sample identification	1-2	Linked DIME Sample ID	2025-04-18-54
The fabricator/manufacturer/facility name	Sequoia Consultants	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	CTS-65-EHI
The truck number from where the sample was collected	19	The batch plant ticket number from where the sample was collected	9
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	SB Lane 4 Sta 752+90 - 752+45
From Lot No.		Bag Lot No.

DIME Sample ID: 2025-04-18-55

DIME Test ID: 2025-04-18-55-2

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: 2025-05-20

Input Type: Calculated

Tester's full name: Zacarias Flores

Date of test: 04/18/2025

Air Content: 1.5 %

General comments (publicly viewable) (Max 1000 characters): Set #1-2

Test was verified on 5/20/2025 ✔