Sample Record

Owner Labs

  • CT SC Sub-unit 3674-102
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2017-01-16-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209384
DEA: 04264094
EFIS: 0400000735
COOP: 042531
DIST-CO-RTE-PM04-,SON--
Award Date01/21/2016
Closeout Date06/03/2020
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/03/2020)

Sample Information

Sample Taken Date01/16/2017 Sample Unique Key2
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing02/02/2017
Sample typeQuality Assurance A brief description of the sample2 6x12 concrete cylinders
The quantity of what the sample constitutes30 CY From where was the sample collectedJob Site
First name of sampler or witnessed byHarry Last name of sampler or witnessed bySuryantoro
Title of samplerTEC Telephone number of sampler510)385-7179
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameShamrock Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierRW2
Structure nameRW2

Material Information

Material TypeConcrete The concrete mix design number4201a
The truck number from where the sample was collected1224 The batch plant ticket number from where the sample was collected447436
Concrete batch plant04 The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledRW2 st 653686 to653766
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-01-16-2-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT HQ - Sacramento Concrete Testing Laboratory02/13/2017MM
Yes
02/13/2017