Sample Record

Owner Labs

  • CT SC Sub-unit 3676-106
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2017-12-16-2

Project Information

Project IdentifiersProject ID: 212351
DEA: 040P1304
DIST-CO-RTE-PM04-MRN-1-11.5, 11.50, 11.5, 12
Award Date06/09/2017
Closeout Date09/24/2018
Work DescriptionConstruct Soldier Pile Wall with Tiebacks
Location DescriptionRoute 1 PM 11.5
QA Service Level1 (Verified on 07/24/2017)

Sample Information

Sample Taken Date12/16/2017 Sample Unique Key2
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 testing01/04/2018
Sample typeAcceptance A brief description of the sample6 X 12 Concrete Cylinder
The quantity of what the sample constitutes27 CY From where was the sample collectedJob Site
First name of sampler or witnessed byNana Last name of sampler or witnessed byBudu
Title of samplerAssistant Structure Representative Telephone number of sampler7078122676
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 identifierSoldier Pile 61 and 67
Structure nameRetaining Wall 1

Material Information

Material TypeConcrete The concrete mix design number4700
The truck number from where the sample was collected1951 The batch plant ticket number from where the sample was collected458838
Concrete batch plantShamrock San Rafael The fabricator/manufacturer designation for the sampleShamrock Materials
A detailed description of where the material sample was collectedBack of Truck Where the material sample would have been placed if not sampledPile
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-12-16-2-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBangCT HQ - Sacramento Concrete Testing Laboratory01/16/2018Bang