Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2018-05-07-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210808
DEA: 020E0904
EFIS: 0200000016
DIST-CO-RTE-PM02-SHA-5-R29.3/R31.1,R45.0/R45.8
Award Date02/03/2016
Closeout Date10/21/2020
Work DescriptionREPLACE BRIDGE, REALIGN ROADWAY AND SEISMIC RETROFIT
Location DescriptionIN SHASTA COUNTY ABT 8 MI N OF SHASTA LAKE CTY AND NEAR LAKEHEAD FRM TURNTABLE BAY O/C TO 0.1 MI N OF O'BRIEN SRRA & FRM 0.4 MI S TO 0.3 MI N OF DOG CREEK BRIDGE.
QA Service Level1 (Verified on 09/23/2015)

Sample Information

Sample Taken Date05/07/2018 Sample Unique Key10
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing05/08/2018
Sample typeInformational A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed bydanny Last name of sampler or witnessed byhansen
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) Number105223
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design number800 TLW-F
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collected00000000000000
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedJobsite Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-05-07-10-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT HQ - Sacramento Concrete Testing Laboratory06/04/2018MM
Yes
06/04/2018