Test 2018-06-27-6-6 (CTM 556-January 2018) 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 Date6/27/2018 Sample Unique Key6
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 testing6/28/2018
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 byBrenda Last name of sampler or witnessed byAmaya
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 identifierUnknown
Structure nameUnknown
Material Information
Material TypeConcrete The concrete mix design numberG3-15-3600-590
The truck number from where the sample was collectedLoad 2 The batch plant ticket number from where the sample was collected401152
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleSet 1
A detailed description of where the material sample was collectedSTA 1193 to 1255 Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown
Test Details
DIME Sample ID: 2018-06-27-6
DIME Test ID: 2018-06-27-6-6
Testing Lab: G3 Quality, Inc. - Cerritos
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Test Release Date: 2018-11-08
Test Results

Input Type: Calculated
Tester's full name: Brenda Amaya
Date of test: 06/27/2018
Slump: 4.5 inch
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 11/08/2018