DIME - Test Summary

Summary for Test 2021-10-01-2-4

Test performed: ASTM C138-17a

Project Identifiers	Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169
DIST-CO-RTE-PM	05-SB-101-4.4/R7.7
Award Date	03/01/2021
Closeout Date	Not set
Work Description	Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description	101 freeway in Summerland, CA
QA Service Level	1 (Verified on 05/06/2021)

Sample Taken Date	10/01/2021	Sample Unique Key	2
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	10/02/2021
Sample type	Quality Control	A brief description of the sample	PCC 6''x12'' test cylinder
The quantity of what the sample constitutes	Girder	From where was the sample collected	Job Site
First name of sampler or witnessed by	Roberto	Last name of sampler or witnessed by	Reyes
Title of sampler	QC Technician	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Con-Fab California LLC	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Concrete	The concrete mix design number	SCCS950F
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	1768
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	Casting Bed 1 East	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2021-10-01-2

DIME Test ID: 2021-10-01-2-4

Testing Lab: Con-Fab California, LLC

Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete

Test Release Date: 2021-10-04

Input Type: Calculated

Tester's full name: Roberto Reyes Perez

Date of test: 10/01/2021

Identification of concrete represented by the sample: Girder

Volume of the measure: 0.25 ft^3

Density of concrete: 150.9 lb/ft^3

Yield of concrete: no data

Relative yield of the batch: no data

Cement content: no data

Air content: 2.5 %

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/4/2021 ✔