Summary for Test 2023-09-16-10-1
Test performed: CTM 557-June 2020Project Information
Project Identifiers | Project ID: 993915 DEA: 040Y9704 EFIS: 0422000388 |
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DIST-CO-RTE-PM | 04-SCL/SCL-101-47.89/47.89 |
Award Date | 05/02/2022 |
Closeout Date | 01/05/2024 |
Work Description | Repair of girder 5 and replacement of girder 10, both in Span 1. |
Location Description | Not set |
QA Service Level | 1 (Verified on 08/08/2022) |
Sample Information
Sample Taken Date | 09/16/2023 | Sample Unique Key | 10 |
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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 | 09/16/2023 |
Sample type | Quality Control | A brief description of the sample | concrete |
The quantity of what the sample constitutes | 100 cy | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Erik | Last name of sampler or witnessed by | Haagensen |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Central Concrete | 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 | D20119WA |
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The truck number from where the sample was collected | 6298 | The batch plant ticket number from where the sample was collected | 04362660 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | concrete truck | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Test Details
DIME Sample ID: 2023-09-16-10
DIME Test ID: 2023-09-16-10-1
Testing Lab: RMA Group - Rancho Cordova
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Test Release Date: 2023-12-28
Test Results
Input Type: Calculated
Tester's full name: Erik Haagensen
Date of test: 09/16/2023
Temperature: 80 F
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 12/28/2023 ✔