DIME - Test Summary

Summary for Test 2013-07-09-4236474-1

Test performed: CTM 504-June 2010

Project Identifiers	Project ID: 8127 DEA: 080N5904 EFIS: 0800000533
DIST-CO-RTE-PM	08-SBD-40-R85.2
Award Date	02/07/2013
Closeout Date	05/11/2015
Work Description	CONSTRUCT PC/PS BULB-TEE GIRDER BRIDGE
Location Description	SAN BERNARDINO COUNTY NEAR ESSEX AT VAN WINKLE WASH BRIDGE
QA Service Level	1 (Verified on 12/10/2012)

Sample Taken Date	07/09/2013	Sample Unique Key	4236474
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	07/10/2013
Sample type	Quality Control	A brief description of the sample	6x12 concrete cylinders
The quantity of what the sample constitutes	4 cylinders	From where was the sample collected	Source
First name of sampler or witnessed by	Jared	Last name of sampler or witnessed by	Tietjen
Title of sampler	Field Technician	Telephone number of sampler	Not set
Laboratory sample identification	Not set	Linked DIME Sample ID	Not set
The fabricator/manufacturer/facility name	Hi Grade	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier	Abutment no. 1
Structure name	Not set

Material Type	Concrete	The concrete mix design number	HG53401R
The truck number from where the sample was collected	187	The batch plant ticket number from where the sample was collected	810521
Concrete batch plant	Not set	The fabricator/manufacturer designation for the sample	Not set
A detailed description of where the material sample was collected	Abutment no. 1 - Middle at Second Load	Where the material sample would have been placed if not sampled	Abutment no. 1
From Lot No.	Not set	Bag Lot No.	Not set

DIME Sample ID: 2013-07-09-4236474

DIME Test ID: 2013-07-09-4236474-1

Testing Lab: SCST, LLC

Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method

Test Release Date: 2013-07-17

Input Type: Calculated

Tester's full name: Jared Tietjen

Date of test: 07/09/2013

Air Content: 1.5 %

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

Test was verified on 7/17/2013 ✔