Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2017-11-29-11

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 Date11/29/2017 Sample Unique Key11
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 testing12/01/2017
Sample typeQuality Assurance A brief description of the sample2 6x12 concrete cylinders
The quantity of what the sample constitutes918 CY From where was the sample collectedJob Site
First name of sampler or witnessed byP Last name of sampler or witnessed byLatasa
Title of samplerTEC Telephone number of sampler510) 385-7179
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 identifier27 0119
Structure nameSan Antonio Creek Bridge

Material Information

Material TypeConcrete The concrete mix design number3172GG-F-SRA
The truck number from where the sample was collected1415 The batch plant ticket number from where the sample was collected458162
Concrete batch plant04 The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledDeck 2nd pour
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-11-29-11-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBang, CT HQ - Sacramento Concrete Testing Laboratory12/27/2017Bang
Yes
12/27/2017

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2017-11-29-11-1 ASTM C39-10 (Verified)