Sample Record

Owner Labs

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

DIME Sample ID 2018-04-09-14

Project Information

Project IdentifiersProject ID: 212351
DEA: 040P1304
EFIS: 0417000402
DIST-CO-RTE-PM04-MRN-1-11.5
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 Date04/09/2018 Sample Unique Key14
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 testing06/05/2018
Sample typeAcceptance A brief description of the sample6 X 12 Concrete Cylinder
The quantity of what the sample constitutes45 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 identifierUpper Waler Tier 1
Structure nameRetaining Wall 1

Material Information

Material TypeConcrete The concrete mix design number3172GG
The truck number from where the sample was collected1433 The batch plant ticket number from where the sample was collected462035
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 sampledConcrete Waler
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-04-09-14-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMike MullinsCT HQ - Sacramento Concrete Testing Laboratory06/07/2018Mike Mullins
Yes
06/07/2018