*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Sample Record for 2020-08-04-8


Project Information

Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-680-M2.4/M12.4
Work Description: ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS
Location Description: FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING
Contractor Name: BAY CITIES PAVING & GRADING, INC. Contractor Address: 1450 Civic Ct. BLDG B #400
Resident Engineer: Yannaing Tun Structure Rep.: Jarosz, Jordan

Sample Information

DIME Sample ID: 2020-08-04-8
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 08/04/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/05/2020
The quantity of what the sample constitutes: 2 - 6x12 cylinders
A brief description of the sample: 6X12 cylinders
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

The concrete mix design number: 63
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 0
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Oldcastle Stockton
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 1

DIME Test ID: 2020-08-04-8-1
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.