Sample Record for 2024-04-20-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994425 DEA: 040K5204 EFIS: 0416000098
QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-12-11.0/T17.4
Work Description: Overlay with RHMA, replace guardrails, approach slabs and signs.
Location Description: Construction on State Highway in Sonoma County from Llano Road to Farmers Lane.
Contractor Name: FBD VANGUARD CONSTRUCTION, INC. (TOM SWISHER)
Contractor Address: 550 Greenville Road, Livermore, CA 94550
Resident Engineer: Leonard Brajnikoff Structure Rep.: Anthony Tierra
Sample Information
DIME Sample ID: 2024-04-20-2
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3672 - Santa Rosa
Sample Organization Contact: (510) 774-6009
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 04/20/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/30/2024
The quantity of what the sample constitutes: 522 CY
A brief description of the sample: RSC
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vanguard
Material Information
The concrete mix design number: he4x12bm
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 2
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: wheelbarrow
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 ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2024-04-20-2-1 | ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | 04/23/2024 | 06/01/2024 | Jose Calderon Mares | CT SC - 3672 - Santa Rosa | 42 days for ISR | |
| 2024-04-20-2-2 | ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | 04/26/2024 | 06/03/2024 | Phillip Montes | CT HQ - Sacramento Concrete Testing Laboratory | | |
101427101707
