Test 2013-07-18-377331-2 (CTM 556-June 2010) Summary

Project Information
Project IdentifiersProject ID: 8127
DEA: 080N5904
EFIS: 0800000533
DIST-CO-RTE-PM08-SBD-40-R85.2
Work DescriptionCONSTRUCT PC/PS BULB-TEE GIRDER BRIDGE
Location DescriptionSAN BERNARDINO COUNTY NEAR ESSEX AT VAN WINKLE WASH BRIDGE
Sample Information
Sample Taken Date7/18/2013 Sample Unique Key377331
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 testing7/19/2013
Sample typeQuality Control A brief description of the sampleconcrete cylinders
The quantity of what the sample constitutes4 cylinders From where was the sample collectedSource
First name of sampler or witnessed byJared Last name of sampler or witnessed byTietjen
Title of samplerField Technician Laboratory sample identificationNot set
The fabricator/manufacturer/facility nameHigh Grade Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeConcrete The concrete mix design numberHG53401R
The truck number from where the sample was collected187 The batch plant ticket number from where the sample was collected810700
Concrete batch plantNot set The fabricator/manufacturer designation for the sampleNot set
A detailed description of where the material sample was collectedBent no. 3 - South Column - Full Lift Where the material sample would have been placed if not sampledBent no. 3 - South Column - Full Lift
From Lot No.Not set Bag Lot No.Not set
Test Details
DIME Sample ID: 2013-07-18-377331
DIME Test ID: 2013-07-18-377331-2
Testing Lab: SCST, LLC.
Test Method: CTM 556-June 2010: Method of Test for Slump of Fresh Portland Cement Concrete
Test Release Date: 2013-07-26
Test Results

Input Type: Calculated
Tester's full name: Jared Tietjen
Date of test: 07/18/2013
Slump: 5 in
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 07/26/2013