DIME - Test Summary

Summary for Test 2025-11-25-19-2

Test performed: CTM 556-January 2018

Project Identifiers	Project ID: 1000279 DEA: 023H70U4 EFIS: 0223000161
DIST-CO-RTE-PM	02-TRI-299-15.0/25.7
Award Date	08/09/2024
Closeout Date	Not set
Work Description	RHMA-G, HMA (TYPE A), COLD PLANE AC, & SOLDIER PILE RETAINING WALL.
Location Description	TRINITY COUNTY NEAR DEL LOMA FROM 1.0 MILE EAST OF TRINITY RIVER BRIDGE NO.05-0006 TO 0.1 MILE WEST OF PRAIRIE CREEK ROAD
QA Service Level	1 (Verified on 04/30/2024)

Sample Taken Date	11/25/2025	Sample Unique Key	19
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	11/26/2025
Sample type	Acceptance	A brief description of the sample	Type II V
The quantity of what the sample constitutes	250 cy	From where was the sample collected	Job Site
First name of sampler or witnessed by	Andrew	Last name of sampler or witnessed by	Grinsell
Title of sampler	ASR	Telephone number of sampler	(707)-498-4009
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Mercer Fraser Willow Crk	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name		Bid Item	3908138

Material Type	Concrete	The concrete mix design number	MF CL 1 .40 SLAG AE
The truck number from where the sample was collected	700	The batch plant ticket number from where the sample was collected	700162
Concrete batch plant	Mercer Fraser Willow Crk	The fabricator/manufacturer designation for the sample	Mercer Fraser
A detailed description of where the material sample was collected	Ready Mix Truck Chute	Where the material sample would have been placed if not sampled	Barrier slab
From Lot No.		Bag Lot No.

DIME Sample ID: 2025-11-25-19

DIME Test ID: 2025-11-25-19-2

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: 2025-11-26

Input Type: Calculated

Tester's full name: Andrew Grinsell

Date of test: 11/25/2025

Slump: 6 inch

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

Test was verified on 11/26/2025 ✔