Summary for Test 2022-06-21-42-1
Test performed: CTM 557-June 2020Project Information
| Project Identifiers | Project ID: 214681 DEA: 021H5104 EFIS: 0216000148 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-99-9.0/9.3 |
| Award Date | 11/04/2021 |
| Closeout Date | 08/14/2023 |
| Work Description | CHAMPLIN SLOUGH |
| Location Description | REPLACE BRIDGE IN TEHAMA COUNTY NEAR LOS MOLINOS FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF CHAMPLIN SLOUGH |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 06/21/2022 | Sample Unique Key | 42 |
|---|---|---|---|
| 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 | 06/21/2022 |
| 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 | Anthony | Last name of sampler or witnessed by | Smith |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Foothill Ready Mix | 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 | 72S34XZA20 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 2410 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Champlin Slough Bridge Abutments | 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: 2022-06-21-42
DIME Test ID: 2022-06-21-42-1
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: 2022-07-05
Test Results
Input Type: Calculated
Tester's full name: Anthony Smith
Date of test: 06/21/2022
Temperature: 80 F
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 7/5/2022 ✔