Test 2021-06-17-53-4 (CTM 557-June 2020) Summary

Project Information
Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
Sample Information
Sample Taken Date6/17/2021 Sample Unique Key53
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 testing6/19/2021
Sample typeQuality Control A brief description of the sample6x12 Cylinders
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byBobby Last name of sampler or witnessed byTogores
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 numberG3-17-STR-006F
The truck number from where the sample was collectedLoad 3 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 collectedValley View Bridge South Frame 3, Truck No. 70504 Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown
Test Details
DIME Sample ID: 2021-06-17-53
DIME Test ID: 2021-06-17-53-4
Testing Lab: G3 Quality, Inc. - Cerritos
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Test Release Date: 2021-08-30
Test Results

Input Type: Calculated
Tester's full name: Bobby Togores
Date of test: 06/17/2021
Temperature: 83 F
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 08/30/2021