Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2013-11-15-7500
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Project Information
| Project Identifiers | Project ID: 7463 DEA: 042640U4 EFIS: 0412000195 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-101-0.9/3.6 |
| Award Date | 11/02/2012 |
| Closeout Date | 06/03/2020 |
| Work Description | CONSTRUCT PETALUMA BLVD SOUTH INTERCHANGE, REPLACE PETALUMA RIVER BR |
| Location Description | SONOMA COUNTY IN AND NEAR PETALUMA FROM GUNN DRIVE TO ROUTE 101/116 SEPARATION AND OVERHEAD |
| QA Service Level | 1 (Verified on 09/11/2012) |
Sample Information
| Sample Taken Date | 11/15/2013 | Sample Unique Key | 7500 |
|---|---|---|---|
| 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 | 12/13/2013 |
| Sample type | Verification | A brief description of the sample | SCC |
| The quantity of what the sample constitutes | Two 4x8 concrete cylinders | From where was the sample collected | Source |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Cummings |
| Title of sampler | QA Inspector | Telephone number of sampler | Not set |
| Laboratory sample identification | Not set | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | ConFab | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | V95-25F |
|---|---|---|---|
| The truck number from where the sample was collected | Not set | The batch plant ticket number from where the sample was collected | unknown |
| Concrete batch plant | Not set | The fabricator/manufacturer designation for the sample | Not set |
| A detailed description of where the material sample was collected | By formwork at precast plant during pour inspection | Where the material sample would have been placed if not sampled | Not set |
| From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2013-11-15-7500-1 | ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | Stanley Mak, CT HQ - QASI Bay Area Field Office | 12/27/2013 | Stanley Mak | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2013-11-15-7500-1 ASTM C39-10