DIME - Test Summary

Summary for Test 2020-01-30-38-5

Test performed: CTM 504-June 2010

Project Identifiers	Project ID: 209141 DEA: 07215954 EFIS: 0700001835
DIST-CO-RTE-PM	07-LA-5-0.0/7.6
Award Date	04/24/2014
Closeout Date	07/14/2022
Work Description	WIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location Description	LOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
QA Service Level	1 (Verified on 06/02/2014)

Sample Taken Date	01/30/2020	Sample Unique Key	38
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	01/31/2020
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	Dwayne	Last name of sampler or witnessed by	Ovalle
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	Abut 2 Approach Slab

Material Type	Concrete	The concrete mix design number	G3-15-STR-002
The truck number from where the sample was collected	Load 14	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	Floerence Bridge - Abutment 4	Where the material sample would have been placed if not sampled	Unknown
From Lot No.	Unknown	Bag Lot No.	Unknown

DIME Sample ID: 2020-01-30-38

DIME Test ID: 2020-01-30-38-5

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: 2020-03-05

Input Type: Calculated

Tester's full name: Dwayne Ovalle

Date of test: 01/30/2020

Air Content: 1 %

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

Test was verified on 3/5/2020 ✔