Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2018-11-21-11
Project Information
Project Identifiers | Project ID: 213474 DEA: 010A8404 EFIS: 0113000058 |
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DIST-CO-RTE-PM | 01-MEN-271-17.7/18.0 |
Award Date | 09/14/2018 |
Closeout Date | 12/04/2019 |
Work Description | BRIDGE REPLACEMENT, ROADWAY REALIGNMENT AND WIDENING. |
Location Description | MENDOCINO COUNTY NEAR PIERCY FROM 0.7 MILE NORTH OF HIGHWAY 271/101 SEPARATION TO 0.4 MILE SOUTH OF THE SIDEHILL VIADUCT |
QA Service Level | 1 (Verified on 08/24/2018) |
Sample Information
Sample Taken Date | 11/21/2018 | Sample Unique Key | 11 |
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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 | 11/22/2018 |
Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinder 6 x 12 |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Source |
First name of sampler or witnessed by | stacey | Last name of sampler or witnessed by | Davis |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | KieCon | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Unknown | |
Structure name | Unknown |
Material Information
Material Type | Concrete | The concrete mix design number | k4560-452a |
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The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | unk |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | fabricator | Where the material sample would have been placed if not sampled | Unknown |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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2018-11-21-11-1 | ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | William Sommer, CT HQ - QASI Bay Area Field Office | 12/19/2018 | William Sommer | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-11-21-11-1 ASTM C39-10