Test 2020-10-01-30-6 (CTM 556-January 2018) Summary

Project Information
Project IdentifiersProject ID: 209141
DEA: 07215954
EFIS: 0700001835
DIST-CO-RTE-PM07-LA-5-0.0/7.6
Work DescriptionWIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location DescriptionLOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
Sample Information
Sample Taken Date10/1/2020 Sample Unique Key30
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 testing10/2/2020
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byJulian Last name of sampler or witnessed byCarmona
Title of samplerQC Field Technician Laboratory sample identificationSet 1
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier00-0000
Structure nameUnknown
Material Information
Material TypeConcrete The concrete mix design numberG3-15-STR-001
The truck number from where the sample was collectedLoad 1 The batch plant ticket number from where the sample was collected0
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleSet 1
A detailed description of where the material sample was collectedBridge Abutment Mechanical Joint Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown
Test Details
DIME Sample ID: 2020-10-01-30
DIME Test ID: 2020-10-01-30-6
Testing Lab: G3 Quality, Inc. - Cerritos
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Test Release Date: 2020-12-21
Test Results

Input Type: Calculated
Tester's full name: Julian Carmona
Date of test: 10/01/2020
Slump: 5 inch
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 12/21/2020