Sample Record

Owner Labs

  • CT QASI - Sacramento Field Laboratory
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2017-11-27-1

Project Information

Project IdentifiersProject ID: 211777
DEA: 04209504
EFIS: 0412000116
DIST-CO-RTE-PM04-MRN,SON-1-50.2/50.5,0.0/0.2
Award Date01/04/2017
Closeout Date10/21/2019
Work DescriptionREPLACE ESTERO BRIDGE AND REALIGN APPROACHING ROADWAY; Bridge No. 27-0121
Location DescriptionMARIN AND SONOMA COUNTIES NEAR VALLEY FORD FROM 0.4 MILE SOUTH OF ESTERO AMERICANO BRIDGE TO 0.2 MILE NORTH OF ESTERO AMERICANO BRIDGE
QA Service Level1 (Verified on 01/17/2017)

Sample Information

Sample Taken Date11/27/2017 Sample Unique Key1
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 testingNot set
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes4 cylinders From where was the sample collectedFabricator
First name of sampler or witnessed byRyan Last name of sampler or witnessed byCummings
Title of samplerCALTRANS METS QA INSPECTOR Telephone number of sampler916-718-7759
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameConFab Lathrop Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS29-246-17 Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberSCC V85-25F
The truck number from where the sample was collected2 The batch plant ticket number from where the sample was collected1332
Concrete batch plantJohnson The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedVoid slabs Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-11-27-1-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT HQ - Sacramento Concrete Testing Laboratory12/04/2017MM
Yes
12/04/2017
2017-11-27-1-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT HQ - Sacramento Concrete Testing Laboratory12/26/2017MM
Yes
12/26/2017