DIME - Test Summary

Summary for Test 2022-09-13-22-2

Test performed: ASTM C143-20

Project Identifiers	Project ID: 215003 DEA: 040J6204 EFIS: 0414000019
DIST-CO-RTE-PM	04-ALA-680-12.4/21.9
Award Date	04/12/2022
Closeout Date	Not set
Work Description	REHABILITATE PAVEMENT - RPL APP/DEP SLABS, 14 BRIDGES
Location Description	ALAMEDA COUNTY AT SUNOL AND IN PLEASANTON AND DUBLIN FROM KOOPMANN ROAD UNDERCROSSING TO ALAMEDA COUNTY LINE
QA Service Level	1 (Verified on 10/19/2020)

Sample Taken Date	09/13/2022	Sample Unique Key	22
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	09/13/2022
Sample type	Quality Control	A brief description of the sample	1 cubic ft. of Concrete taken from middle of batching
The quantity of what the sample constitutes	1 cubic ft. of Concrete for Testing	From where was the sample collected	Fabricator
First name of sampler or witnessed by	Mark Patrick	Last name of sampler or witnessed by	Baddu
Title of sampler		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	85KV1-25F
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	1188 - 1173
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	Bed 4 - Truck 9 , Bed Delta - Truck 10	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2022-09-13-22

DIME Test ID: 2022-09-13-22-2

Testing Lab: Con-Fab California Corporation - Lathrop

Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete

Test Release Date: 2022-09-19

Input Type: Calculated

Tester's full name: Abraham Luna

Date of test: 09/13/2022

Slump: 20 inch

General comments (publicly viewable) (Max 1000 characters): Bed DELTA Flow: 20" VSI: 0

Test was verified on 9/19/2022 ✔