Summary for Test 2025-12-03-1-1
Test performed: CTM 557-June 2020Project Information
| Project Identifiers | Project ID: 1001169 DEA: 07314524 EFIS: 0722000300 COOP: 075283 |
|---|---|
| DIST-CO-RTE-PM | 07--- |
| Award Date | 07/03/2023 |
| Closeout Date | Not set |
| Work Description | I-105 METRO Express Lanes Project |
| Location Description | LA-105 PM R0.6/R10.1, LA-110 PM R14.1/R16.6 |
| QA Service Level | 2 (Verified on 04/11/2025) |
Sample Information
| Sample Taken Date | 12/03/2025 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 12/03/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 40 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Luis | Last name of sampler or witnessed by | De La Cruz |
| Title of sampler | Materials Tester | Telephone number of sampler | 5625238401 |
| Laboratory sample identification | 120225-WB105LCB-001 | 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 | 53203 |
|---|---|---|---|
| The truck number from where the sample was collected | Truck or Ticket 397742 | The batch plant ticket number from where the sample was collected | Load 4 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Jobsite | Where the material sample would have been placed if not sampled | Jobsite |
| From Lot No. | Bag Lot No. |
Test Details
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DIME Sample ID: 2025-12-03-1
DIME Test ID: 2025-12-03-1-1
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: 2025-12-03
Test Results
Input Type: Calculated
Tester's full name: Luis De La Cruz
Date of test: 12/03/2025
Temperature: 63 F
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 12/3/2025 ✔