DIME - Test Summary

Summary for Test 2024-04-02-57-5

Test performed: CTM 504-June 2010

Project Identifiers	Project ID: 994425 DEA: 040K5204 EFIS: 0416000098
DIST-CO-RTE-PM	04-SON-12-11.0/T17.4
Award Date	03/21/2023
Closeout Date	Not set
Work Description	Overlay with RHMA, replace guardrails, approach slabs and signs.
Location Description	Construction on State Highway in Sonoma County from Llano Road to Farmers Lane.
QA Service Level	1 (Verified on 12/07/2022)

Sample Taken Date	04/02/2024	Sample Unique Key	57
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	04/03/2024
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	Brent	Last name of sampler or witnessed by	Van-Y
Title of sampler	QC Field Technician	Telephone number of sampler
Laboratory sample identification	HE4X4BM, Set 2	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Vanguard Construction	Transportation Laboratory (TL) Number	Unknown
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	00-0000
Structure name

Material Type	Concrete	The concrete mix design number	HE4X4BM
The truck number from where the sample was collected	Load 12	The batch plant ticket number from where the sample was collected	0
Concrete batch plant	Unknown	The fabricator/manufacturer designation for the sample	Set 2
A detailed description of where the material sample was collected	E/B RTE 12 to N/B RTE 101 Connector, Departure Slab	Where the material sample would have been placed if not sampled	Unknown
From Lot No.	1	Bag Lot No.	1

DIME Sample ID: 2024-04-02-57

DIME Test ID: 2024-04-02-57-5

Testing Lab: G3 Quality, Incorporated - Cerritos

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

Test Release Date: 2024-06-05

Input Type: Calculated

Tester's full name: Brent Van-Y

Date of test: 04/02/2024

Air Content: 1.5 %

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

Test was verified on 6/5/2024 ✔