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Sample Record for 2013-03-25-9000009

Project Information

Project ID: 1783 DEA: 041123U4 EFIS: 0400000378 COOP: 042399 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM--61.2/64.9
Work Description: Devil?s Slide - Tunnel Project - Two borings
Location Description: route 1 South of Pacifica
Contractor Name: KIEWIT PACIFIC CO. Contractor Address: 930 Oddstad Blvd.
Resident Engineer: John Muench Structure Rep.: Lam, Peter

Sample Information

DIME Sample ID: 2013-03-25-9000009
TL Number from the TL Form:
Sample Submitted By Organization: ZZCT DIME Development Laboratory A - Bellflower
Sample Organization Contact: 213-555-1212
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 03/25/2013
Date that the sample was received by the laboratory/organization performing the testing: 03/01/2013
The quantity of what the sample constitutes: 2 cyliners
A brief description of the sample: Compressive Strength samples
From where was the sample collected: Source
Laboratory sample identification: 1
Structure unique identifier: 11/1/6000
Structure name: New Bridge

Material Information

The concrete mix design number: 123456
The truck number from where the sample was collected: 23
The batch plant ticket number from where the sample was collected: 33
Concrete batch plant: 51
The fabricator/manufacturer designation for the sample: 54
A detailed description of where the material sample was collected: Jobsite
Where the material sample would have been placed if not sampled: Bridge Footing
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 1

DIME Test ID: 2013-03-25-9000009-1
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C617/CTM521
Data has not been verified.