Sample Record

Owner Labs

  • CT SC - 3672 - Petaluma
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2017-05-18-17

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 Date10/17/2022
Work DescriptionConstruct Solier Pile Wall
Location DescriptionNot set
QA Service Level1 (Verified on 03/17/2017)

Sample Information

Sample Taken Date05/18/2017 Sample Unique Key17
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 testing06/16/2017
Sample typeQuality Assurance A brief description of the sample6X12 cylinders
The quantity of what the sample constitutes2 6x12 concrete cylinders From where was the sample collectedJob Site
First name of sampler or witnessed bySarah Last name of sampler or witnessed byRusby
Title of samplerTransportation Enginner Telephone number of sampler1-510-867-4549
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Materials Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRetaining Wall 8

Material Information

Material TypeConcrete The concrete mix design number4700P
The truck number from where the sample was collected1808 The batch plant ticket number from where the sample was collected155045
Concrete batch plant348436 The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBack of the truck Chute Where the material sample would have been placed if not sampledretaining wall 9
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-05-18-17-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMM, CT HQ - Sacramento Concrete Testing Laboratory06/29/2017MM
Yes
06/29/2017

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2017-05-18-17-1 ASTM C39-10 (Verified)