Summary for Test 2021-05-17-10-4
Test performed: CTM 556-January 2018Project Information
| Project Identifiers | Project ID: 215212 DEA: 081F1434 EFIS: 0815000233 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-38.2/51.5 |
| Award Date | 12/04/2020 |
| Closeout Date | 03/01/2023 |
| Work Description | INDIVIDUAL SLAB REPLACEMENT, REPLACE BASE & GRIND CONCRETE PAVEMENT. |
| Location Description | RIVERSIDE COUNTY IN CORONA AND EASTVALE FROM 0.5 MILE SOUTH OF ONTARIO AVENUE UNDERCROSSING TO ROUTE 60/15 SEPARATION |
| QA Service Level | 1 (Verified on 03/30/2021) |
Sample Information
| Sample Taken Date | 05/17/2021 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 testing | 05/18/2021 |
| Sample type | Quality Assurance | A brief description of the sample | PCC Rapid set beams |
| The quantity of what the sample constitutes | 3 beams | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | QC | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 9RA,9RB,9RC | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Myers and Sons Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 800-3RSC |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | TT | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | concrete sample from wheelbarrow | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Test Details
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DIME Sample ID: 2021-05-17-10
DIME Test ID: 2021-05-17-10-4
Testing Lab: CT D08 - Fontana Field Testing Laboratory
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Test Release Date: 2021-05-20
Test Results
Input Type: Calculated
Tester's full name: I. Lopez
Date of test: 05/17/2021
Slump: 3.5 inch
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/20/2021 ✔