Summary for Test 2019-05-28-24-6
Test performed: CTM 556-March 2016Project 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 | 05/28/2019 | 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 | 05/29/2019 |
| Sample type | Quality Control | A brief description of the sample | 6x12 Cylinders |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Alvarado |
| Title of sampler | QC Field Technician | Telephone number of sampler | Unknown |
| Laboratory sample identification | Set 3 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 00-0000 |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | G3-15-3600-590 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 4 | The batch plant ticket number from where the sample was collected | 0 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Set 3 |
| A detailed description of where the material sample was collected | 736 B Mod Rail Footing | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Test Details
Test Details QR Code
Scan this code to open this Test Details view on another device.
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
DIME Sample ID: 2019-05-28-24
DIME Test ID: 2019-05-28-24-6
Testing Lab: G3 Quality, Incorporated - Cerritos
Test Method: CTM 556-March 2016: Method of Test for Slump of Fresh Portland Cement Concrete
Test Release Date: 2019-08-09
Test Results
Input Type: Calculated
Tester's full name: David Alvarado
Date of test: 05/28/2019
Slump: 4.25 inch
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/9/2019 ✔