Sample Record for 2018-08-15-16
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212785 DEA: 04014114 EFIS: 0414000436
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-80-2.1
Work Description: CONSTRUCT MAINTENANCE BUILDING AND PARKING LOT
Location Description: IN ALAMEDA COUNTY IN OAKLAND AT THE SAN FRANCISCO-OAKLAND BAY BRIDGE MAINTENANCE YARD
Contractor Name: THOMPSON BUILDERS CORPORATION
Contractor Address: 250 Bel Marin Keys Blvd, #A, Novato, CA 94949
Resident Engineer: Behzad Halali Structure Rep.: Ahmed Moin
Sample Information
DIME Sample ID: 2018-08-15-16
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 08/15/2018
Date that the sample was received by the laboratory/organization performing the testing: 08/16/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier: Unknown
Structure name: Unknown
The fabricator/manufacturer/facility name: KieCon
Material Information
The concrete mix design number: CT60-W41
The truck number from where the sample was collected: Unknown
The batch plant ticket number from where the sample was collected: Unknown
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
Test Results
Test 1 of 1
DIME Test ID: 2018-08-15-16-1
Test Method: ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Capped in accordance with ASTM C1231
Submitted By Organization: CT HQ - QASI Bay Area Field Office
Organization Address: 690 Walnut Avenue, Suite 150,
Organization City: Vallejo
Organization State: CA
Organization Zipcode: 94592
Organization Email: maged.g.armanuse@dot.ca.gov
Organization Phone: (916) 284-6784
Data has not been verified.
