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Sample Record for 2023-11-16-40

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

Project Information

Project ID: 214135 DEA: 09213404 EFIS: 0900000030 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-29.9/41.8
Work Description: ROADWAY EXCAVATION, PLACE HMA (TYPE A), AND ALTERNATIVE PIPE CULVERT.
Location Description: INYO COUNTY NEAR OLANCHA AND CARTAGO FROM 1.4 MILES SOUTH OF LOS ANGELES AQUEDUCT BRIDGE TO 0.2 MILE SOUTH OF ASH CREEK BRIDGE
Contractor Name: FISHER SAND & GRAVEL CO.
Contractor Address: 1302 W DRIVERS WAY, TEPE, AZ. 85284
Resident Engineer: Kris Raber Structure Rep.: Sheila Reyes

Sample Information

DIME Sample ID: 2023-11-16-40
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 11/16/2023
Date that the sample was received by the laboratory/organization performing the testing: 11/16/2023
The quantity of what the sample constitutes: 12 Cylinders Casted
A brief description of the sample: ConAggs
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: 711 Materials Ridgecrest

Material Information

The concrete mix design number: Mix 718216A
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: Concrete Plant
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: DS 1621 SL Inlet-Outlet Headwall
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2023-11-16-40-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens11/21/202311/30/2023Sheila ReyesCT D09 - Bishop Field LaboratoryConcrete Pour 11/16/23 #718216A DS 1621 SL Inlet/Outlet Headwall 12 Cylinders Casted Break 3 at 14Derek Carrington
2023-11-16-40-2ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens11/21/202312/14/2023Sheila ReyesCT D09 - Bishop Field LaboratoryConcrete Pour 11/16/23 #718216A DS 1621 SL Inlet/Outlet Headwall 12 Cylinders Casted Break 3 at 28Derek Carrington
2023-11-16-40-3ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens11/21/202312/28/2023Sheila ReyesCT D09 - Bishop Field LaboratoryConcrete Pour 11/16/23 #718216A DS 1621 SL Inlet/Outlet Headwall 12 Cylinders Casted Break 3 at 42
2023-11-16-40-4ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens11/21/202301/11/2024Sheila ReyesCT D09 - Bishop Field LaboratoryConcrete Pour 11/16/23 #718216A DS 1621 SL Inlet/Outlet Headwall 12 Cylinders Casted Break 3 at 56 (If strength is not met at 42)Derek Carrington