Summary for Test 2021-11-22-20-1
Test performed: CTM 557-June 2020Project Information
Project Identifiers | Project ID: 215063 DEA: 032F5704 EFIS: 0300020615 |
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DIST-CO-RTE-PM | 03-PLA-80-46.3/63.5 |
Award Date | 09/23/2020 |
Closeout Date | 08/11/2023 |
Work Description | Replace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay) |
Location Description | Not set |
QA Service Level | 1 (Verified on 11/16/2020) |
Sample Information
Sample Taken Date | 11/22/2021 | Sample Unique Key | 20 |
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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 | 11/22/2021 |
Sample type | Quality Control | A brief description of the sample | Concrete |
The quantity of what the sample constitutes | 100 cy | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Erik | Last name of sampler or witnessed by | Haagensen |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Hansen Bros Enterprises | 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 | 7325-6 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 05-198261 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Drum Forebay Rd overpass -Eastbound side -Pour 1 - Sidewalk barrier - south side | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Test Details
DIME Sample ID: 2021-11-22-20
DIME Test ID: 2021-11-22-20-1
Testing Lab: RMA Group - Rancho Cordova
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Test Release Date: 2022-03-29
Test Results
Input Type: Calculated
Tester's full name: Erik Haagensen
Date of test: 11/22/2021
Temperature: 82 F
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 3/29/2022 ✔