Test 2021-09-23-60-4 (CTM 504-June 2010) Summary

Project Information
Project IdentifiersProject ID: 213707
DEA: 081C38U4
EFIS: 0817000196
DIST-CO-RTE-PM08-RIV-10-6.7/R25.1
Work DescriptionRemove concrete pavement and base, and place HMA and JPCP
Location DescriptionROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
Sample Information
Sample Taken Date9/23/2021 Sample Unique Key60
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 testing9/24/2021
Sample typeQuality Assurance A brief description of the sampleJPCP beams
The quantity of what the sample constitutes4 Beams From where was the sample collectedJob Site
First name of sampler or witnessed byZachariah, Ruben Last name of sampler or witnessed byRousch, Lopez
Title of sampler Laboratory sample identification107JA1,107JA2,107JB1, 107JB2
The fabricator/manufacturer/facility nameCoffman Specialties, Inc 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 number1906-2
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedTTI
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedOn Job Site at Concrete Truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.
Test Details
DIME Sample ID: 2021-09-23-60
DIME Test ID: 2021-09-23-60-4
Testing Lab: CT D08 - Fontana Field Testing Laboratory
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Test Release Date: 2021-10-06
Test Results

Input Type: Calculated
Tester's full name: K. Oluoha/ N. Ogbasellaise
Date of test: 09/23/2021
Air Content: 5 %
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/06/2021