Sample Record

Owner Lab

  • Caltrans Vallejo Field Laboratory

DIME Sample ID 2017-05-18-25

Project Information

Project IdentifiersProject ID: 211690
DEA: 042A3204
EFIS: 0400000817
DIST-CO-RTE-PM04-NAP-121-9.2/9.4
Award Date12/01/2016
Closeout Date01/23/2019
Work DescriptionROADWAY WIDENING, BRIDGE REPLACEMENT, CREEK GRADING
Location DescriptionNAPA COUNTY IN NAPA AT SILVERADO TRAIL ROAD
QA Service Level1 (Verified on 01/03/2017)

Sample Information

Sample Taken Date05/18/2017 Sample Unique Key25
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 testing05/19/2017
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinder 6 x 12
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
First name of sampler or witnessed byjames Last name of sampler or witnessed bydoe
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namekiecon Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberk4060421
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedunk
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedfabricator 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
2017-05-18-25-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensWilliam SommerCaltrans Vallejo Field Laboratory06/15/2017William Sommer
No
Info