DIME - Test Summary

Summary for Test 2023-09-09-24-3

Test performed: CTM 504-June 2010

Sample Taken Date	09/09/2023	Sample Unique Key	24
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	09/10/2023
Sample type	Quality Assurance	A brief description of the sample	6x12 JPCP cylinders
The quantity of what the sample constitutes	10 CY	From where was the sample collected	Job Site
First name of sampler or witnessed by	Fernando	Last name of sampler or witnessed by	Carranza
Title of sampler		Telephone number of sampler
Laboratory sample identification	23-1377	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-351
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	104
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	Concrete from wheelbarrow	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Sample ID: 2023-09-09-24

DIME Test ID: 2023-09-09-24-3

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: 2023-11-17

Input Type: Measured

Tester's full name: Fernando Carranza

Date of test: 09/09/2023

Air Content: 3 %

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

Test was verified on 11/17/2023 ✔