Test 2021-05-06-16-4 (CTM 556-January 2018) Summary

Project Information
Project IdentifiersProject ID: 215212
DEA: 081F1434
EFIS: 0815000233
DIST-CO-RTE-PM08-RIV-15-38.2/51.5
Work DescriptionINDIVIDUAL SLAB REPLACEMENT, REPLACE BASE & GRIND CONCRETE PAVEMENT.
Location DescriptionRIVERSIDE COUNTY IN CORONA AND EASTVALE FROM 0.5 MILE SOUTH OF ONTARIO AVENUE UNDERCROSSING TO ROUTE 60/15 SEPARATION
Sample Information
Sample Taken Date5/6/2021 Sample Unique Key16
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 testing5/7/2021
Sample typeQuality Assurance A brief description of the samplePCC Rapid set beams
The quantity of what the sample constitutes3 beams From where was the sample collectedJob Site
First name of sampler or witnessed byQC Last name of sampler or witnessed byQC
Title of sampler Laboratory sample identification2RA,2RB,2RC
The fabricator/manufacturer/facility nameMyers and Sons Construction Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name
Material Information
Material TypeConcrete The concrete mix design number800-3RSC
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedTT
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedconcrete sample from wheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.
Test Details
DIME Sample ID: 2021-05-06-16
DIME Test ID: 2021-05-06-16-4
Testing Lab: CT D08 - Fontana Field Testing Laboratory
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Test Release Date: 2021-05-20
Test Results

Input Type: Calculated
Tester's full name: I. Lopez
Date of test: 05/06/2021
Slump: 3 inch
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 05/20/2021