DIME - Test Summary

Summary for Test 2022-11-01-128-2

Test performed: CTM 504-June 2010

Sample Taken Date	11/01/2022	Sample Unique Key	128
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	11/02/2022
Sample type	Quality Assurance	A brief description of the sample	Concrete Cylinders JPCP
The quantity of what the sample constitutes	10 Cubic Yards	From where was the sample collected	Job Site
First name of sampler or witnessed by	Harrison	Last name of sampler or witnessed by	Kain
Title of sampler		Telephone number of sampler
Laboratory sample identification	22-2969	Linked DIME Sample ID
The fabricator/manufacturer/facility name	n/a	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	G3-21-PCC-250HPR
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	9512
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	Wheelbarrow	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2022-11-01-128

DIME Test ID: 2022-11-01-128-2

Testing Lab: Alta Vista Solutions - Whittier

Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method

Test Release Date: 2022-12-14

Input Type: Calculated

Tester's full name: Harrison Kain

Date of test: 11/01/2022

Air Content: 4.4 %

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

Test was verified on 12/14/2022 ✔