Sample Record

Owner Labs

  • CT SC Sub-unit 3672-105
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2018-08-09-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213153
DEA: 044S7804
EFIS: 0400020145
DIST-CO-RTE-PM04-MRN-1-24.7
Award Date04/26/2018
Closeout Date10/17/2019
Work DescriptionREPLACE EXISTING CULVERTS WITH 36' REINFORCED CONCRETE SLAB BRIDGE.
Location DescriptionMARIN COUNTY NEAR OLEMA AT 1.8 MILES SOUTH OF SIR FRANCIS DRAKE BOULEVARD
QA Service Level1 (Verified on 06/12/2018)

Sample Information

Sample Taken Date08/09/2018 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 testing08/15/2018
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylindes
The quantity of what the sample constitutes16cy From where was the sample collectedJob Site
First name of sampler or witnessed byJanine Last name of sampler or witnessed bymarr
Title of samplerSR Telephone number of sampler510-385-6764
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameShamrock Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameOlema creek

Material Information

Material TypeConcrete The concrete mix design number4700
The truck number from where the sample was collected1443 The batch plant ticket number from where the sample was collected466955
Concrete batch plantplant number 135 shamrock The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedchute Where the material sample would have been placed if not sampledCIDH pile
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-08-09-10-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMike MullinsCT HQ - Sacramento Concrete Testing Laboratory09/06/2018Mike Mullins
Yes
08/21/2018