DIME - Test Summary

Summary for Test 2022-10-20-68-6

Test performed: CTM 556-January 2018

Project Identifiers	Project ID: 214663 DEA: 081F7304 EFIS: 0815000034
DIST-CO-RTE-PM	08-SBD-215-2.7
Award Date	Not set
Closeout Date	Not set
Work Description	REPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA.
Location Description	SAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING
QA Service Level	1 (Verified on 02/24/2021)

Sample Taken Date	10/20/2022	Sample Unique Key	68
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	10/21/2022
Sample type	Quality Control	A brief description of the sample	6x12 concrete cylinders
The quantity of what the sample constitutes	6	From where was the sample collected	Job Site
First name of sampler or witnessed by	Heather	Last name of sampler or witnessed by	Davidson
Title of sampler	QC Field Technician	Telephone number of sampler	Unknown
Laboratory sample identification	Set 1	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Jobsite	Transportation Laboratory (TL) Number	Unknown
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	00-0000
Structure name

Material Type	Concrete	The concrete mix design number	1610974
The truck number from where the sample was collected	Load 2	The batch plant ticket number from where the sample was collected	0
Concrete batch plant	Unknown	The fabricator/manufacturer designation for the sample	Set 1
A detailed description of where the material sample was collected	Load 2 RW no 105	Where the material sample would have been placed if not sampled	Unknown
From Lot No.	Unknown	Bag Lot No.	Unknown

DIME Sample ID: 2022-10-20-68

DIME Test ID: 2022-10-20-68-6

Testing Lab: G3 Quality, Incorporated - Cerritos

Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete

Test Release Date: 2022-12-01

Input Type: Calculated

Tester's full name: Heather Davidson

Date of test: 10/20/2022

Slump: 6 inch

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

Test was verified on 12/1/2022 ✔