Sample Record

Owner Lab

  • Con-Fab California, LLC

DIME Sample ID 2024-03-01-6

Project Information

Project IdentifiersProject ID: 994820
DEA: 060V1104
EFIS: 0616000208
DIST-CO-RTE-PM06-FRE,KIN-5,41,198-Var
Award Date08/31/2023
Closeout DateNot set
Work DescriptionSTRATFORD KINGS RIVER BRIDGE REPLACEMENT.
Location DescriptionFRESNO AND KINGS COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 09/20/2023)

Sample Information

Sample Taken Date03/01/2024 Sample Unique Key6
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 testing03/05/2024
Sample typeQuality Control A brief description of the sampleType T-II/V Cement
The quantity of what the sample constitutes27 From where was the sample collectedManufacturer
First name of sampler or witnessed byBenjamin Last name of sampler or witnessed byAragon
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameConFab California, LLC Shafter Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberSCC_S8.5-0FG
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected4484
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSampled from wheelbarrow collected from chute of ready mix truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-03-01-6-1ASTM C1611-21: Standard Test Method for Slump Flow of Self-Consolidating ConcreteAdiran Estrada, Con-Fab California, LLC03/04/2024Benjamin Aragon
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2024-03-01-6-1 ASTM C1611-21