Summary for Test 2023-03-02-56-6
Test performed: CTM 556-January 2018Project Information
| Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
| Award Date | 05/27/2016 |
| Closeout Date | 08/01/2023 |
| Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
| Location Description | LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK |
| QA Service Level | 1 (Verified on 03/16/2016) |
Sample Information
| Sample Taken Date | 03/02/2023 | Sample Unique Key | 56 |
|---|---|---|---|
| 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 | 03/03/2023 |
| 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 | Glenn | Last name of sampler or witnessed by | McCall |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | Set 1 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Job Site | 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 | S72019 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 1 | The batch plant ticket number from where the sample was collected | 0 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | Set 1 | |
| A detailed description of where the material sample was collected | Truck 1 | 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: 2023-03-02-56
DIME Test ID: 2023-03-02-56-6
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: 2023-08-15
Test Results
Input Type: Calculated
Tester's full name: Glenn McCall
Date of test: 03/02/2023
Slump: 8 inch
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/15/2023 ✔