Summary for Test 2020-01-17-9-6
Test performed: CTM 556-January 2018Project Information
| 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 Information
| Sample Taken Date | 01/17/2020 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 01/18/2020 |
| 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 | Dwayne | Last name of sampler or witnessed by | Ovalle |
| 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 | 00-0000 |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | S72500 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 4 | 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 | Firestone Blvd, South Side 5 FWY | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Test Details
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DIME Sample ID: 2020-01-17-9
DIME Test ID: 2020-01-17-9-6
Testing Lab: G3 Quality, Incorporated - Cerritos
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Test Release Date: 2020-02-18
Test Results
Input Type: Calculated
Tester's full name: Dwayne Ovalle
Date of test: 01/17/2020
Slump: 4.5 inch
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 2/18/2020 ✔