DIME - Test Summary

Summary for Test 2019-01-05-1-2

Test performed: CTM 521-June 2012

Project Identifiers	Project ID: 211260 DEA: 072159U4 EFIS: 0715000160
DIST-CO-RTE-PM	07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date	05/27/2016
Closeout Date	08/01/2023
Work Description	CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description	LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level	1 (Verified on 03/16/2016)

Sample Taken Date	01/05/2019	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	01/06/2019
Sample type	Quality Control	A brief description of the sample	6x12 Cylinders
The quantity of what the sample constitutes	6	From where was the sample collected	Job Site
First name of sampler or witnessed by	Edward	Last name of sampler or witnessed by	Both
Title of sampler	QC Field Technician	Telephone number of sampler	Unknown
Laboratory sample identification	Set 1	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Jobsite	Transportation Laboratory (TL) Number	Unknown
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	Unknown
Structure name	Unknown

Material Type	Concrete	The concrete mix design number	G3-15-3600-590
The truck number from where the sample was collected	Load 5	The batch plant ticket number from where the sample was collected	0
Concrete batch plant	Unknown	The fabricator/manufacturer designation for the sample	Set 1
A detailed description of where the material sample was collected	SW 52 Stem STA 1400	Where the material sample would have been placed if not sampled	Unknown
From Lot No.	Unknown	Bag Lot No.	Unknown

DIME Sample ID: 2019-01-05-1

DIME Test ID: 2019-01-05-1-2

Testing Lab: G3 Quality, Incorporated - Cerritos

Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders

Test Release Date: 2019-02-28

Number of specimens: 2

Input Type: Calculated

Tester's full name: Ron Hernandez

Date of test: 02/01/2019

Correction factor: 1

Cylinder Age: 27 days

Break Description of Cylinder 1 (if not 'cone'): no data

Break Description of Cylinder 2 (if not 'cone'): no data

Average Compressive Strength (to nearest 10): 4640 lb/in^2

Compressive Strength of Cylinder 1: 5000 lb/in^2

Compressive Strength of Cylinder 2: 4270 lb/in^2

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

Test was verified on 2/28/2019 ✔