Test 2019-09-10-25-4 (CTM 518-June 2010) 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 Date9/10/2019 Sample Unique Key25
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 testing9/11/2019
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 byJavier Last name of sampler or witnessed bySolorio
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 1 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 collectedRW 108, STA 10860 Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown
Test Details
DIME Sample ID: 2019-09-10-25
DIME Test ID: 2019-09-10-25-4
Testing Lab: G3 Quality, Inc. - Cerritos
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Test Release Date: 2019-10-29
Test Results

Input Type: Calculated
Tester's full name: Javier Solorio
Date of test: 09/10/2019
Calibration factor: 0
Weight of (Measure + Concrete + Cover Plate): 0 lb
Weight of (Measure + Cover Plate): 0 lb
Total weight of cement: 0 lb
Total weight of fine aggregate: 0 lb
Total weight of coarse aggregate: 0 lb
Total weight of water added during mixing: 0 lb
Kelly Ball Penetration of the batch of concrete tested: 0 inch
Air content by the pressure method: 0 %
Station number or portion of the structure in which the concrete was placed: RW 108, STA 108+60
Volume of the concrete: 0 yd^3
Unit weight of the concrete:145.6 lb/ft^3
Cement content:0 lb/yd^3
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Test was verified on 10/29/2019