DIME - Test Summary

Summary for Test 2022-10-08-17-5

Test performed: ASTM C143-15a

Project Identifiers	Project ID: 993333 DEA: 04264724 EFIS: 0419000068
DIST-CO-RTE-PM	04-MRN-101-R20.8/27.1
Award Date	04/26/2022
Closeout Date	Not set
Work Description	CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location Description	MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
QA Service Level	1 (Verified on 11/01/2021)

Sample Taken Date	10/08/2022	Sample Unique Key	17
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	10/09/2022
Sample type	Quality Control	A brief description of the sample	SL-4201CG
The quantity of what the sample constitutes	20	From where was the sample collected	Job Site
First name of sampler or witnessed by	Irwin	Last name of sampler or witnessed by	McMath
Title of sampler	Field Technician	Telephone number of sampler
Laboratory sample identification	22-080	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Shamrock	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	SL-4201CG
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	428891
Concrete batch plant	Shamrock Materials	The fabricator/manufacturer designation for the sample	SL-4201CG
A detailed description of where the material sample was collected	Back of Truck	Where the material sample would have been placed if not sampled	precasting form boxes
From Lot No.		Bag Lot No.

DIME Sample ID: 2022-10-08-17

DIME Test ID: 2022-10-08-17-5

Testing Lab: Pavement Engineers

Test Method: ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete

Test Release Date: 2022-12-13

Input Type: Calculated

Tester's full name: Irwin McMath

Date of test: 10/08/2022

Slump: 5.25 inch

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

Test was verified on 12/13/2022 ✔