Test 2019-07-22-22-3 (CTM 557-July 2012) 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 Date7/22/2019 Sample Unique Key22
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 testing7/23/2019
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 byKristin Last name of sampler or witnessed byFrisch
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 numberS62578
The truck number from where the sample was collectedLoad 2 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 collected75 ft into 200 ft long 736 Rail, RW 8 Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown
Test Details
DIME Sample ID: 2019-07-22-22
DIME Test ID: 2019-07-22-22-3
Testing Lab: G3 Quality, Inc. - Cerritos
Test Method: CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement Concrete
Test Release Date: 2019-09-20
Test Results

Input Type: Calculated
Tester's full name: Kristin Frisch
Date of test: 07/22/2019
Temperature of the freshly mixed concrete: 85 F
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 09/20/2019