Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2017-04-27-12

Project Information

Project IdentifiersProject ID: 212036
DEA: 044K2404
EFIS: 0417000284
DIST-CO-RTE-PM04-MRN,MRN-1-10.9, 10.8/10.9, 10.90, 6.6/10.9
Award Date01/31/2017
Closeout DateNot set
Work DescriptionConstruct Solier Pile Wall
Location DescriptionNot set
QA Service Level1 (Verified on 03/17/2017)

Sample Information

Sample Taken Date04/27/2017 Sample Unique Key12
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 testing05/16/2017
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes16 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 sampler1-707-333-4263
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRetaining Wall 2

Material Information

Material TypeConcrete The concrete mix design number4700b
The truck number from where the sample was collected1208 The batch plant ticket number from where the sample was collected154071
Concrete batch plant01 The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete Chute Where the material sample would have been placed if not sampledPile 69
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-04-27-12-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT HQ - Sacramento Concrete Testing Laboratory05/25/2017MM
Yes
05/25/2017