Sample Record

Owner Labs

  • CT SC Sub-unit 3672-105
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2017-03-22-8

Project Information

Project IdentifiersProject ID: 211997
DEA: 044K1504
EFIS: 0417000271
COOP: 250
DIST-CO-RTE-PM04-MRN-1-4.0/8.0
Award Date01/03/2017
Closeout Date12/20/2017
Work Descriptionconst SPW and replace culvert
Location DescriptionNot set
QA Service Level1 (Verified on 02/03/2017)

Sample Information

Sample Taken Date03/22/2017 Sample Unique Key8
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing03/23/2017
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 byJanine Last name of sampler or witnessed byMarr
Title of samplerUnknown Telephone number of sampler510-385-6764
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility name Shamrock Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design number4201A
The truck number from where the sample was collected1201 The batch plant ticket number from where the sample was collected152322
Concrete batch plant01 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 sampledsoldier pile wall
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-03-22-8-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBangCT HQ - Sacramento Concrete Testing Laboratory05/03/2017Bang
Yes
05/03/2017