Test 2021-10-07-10-2 (ASTM C143-20) Summary

Project Information
Project IdentifiersProject ID: 215753
DEA: 050N72U4
EFIS: 0520000169
DIST-CO-RTE-PM05-SB-101-4.4/R7.7
Work DescriptionConstruct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description101 freeway in Summerland, CA
Sample Information
Sample Taken Date10/7/2021 Sample Unique Key10
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 testing10/8/2021
Sample typeQuality Control A brief description of the samplePCC 6''x12'' test cylinder
The quantity of what the sample constitutesTwo Girders From where was the sample collectedJob Site
First name of sampler or witnessed byRoberto Last name of sampler or witnessed byReyes
Title of samplerQC Technician Laboratory sample identification
The fabricator/manufacturer/facility nameCon-Fab California LLC 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 numberSCCS950F
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected1805
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCasting Bed 1 West Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.
Test Details
DIME Sample ID: 2021-10-07-10
DIME Test ID: 2021-10-07-10-2
Testing Lab: Con-Fab California, LLC
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Test Release Date: 2021-10-11
Test Results

Input Type: Calculated
Tester's full name: Roberto Reyes Perez
Date of test: 10/07/2021
Slump: 23.25 inch
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/11/2021