Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2018-08-14-12

Project Information

Project IdentifiersProject ID: 211777
DEA: 04209504
EFIS: 0412000116
DIST-CO-RTE-PM04-MRN,SON-1-50.2/50.5,0.0/0.2
Award Date01/04/2017
Closeout Date10/21/2019
Work DescriptionREPLACE ESTERO BRIDGE AND REALIGN APPROACHING ROADWAY; Bridge No. 27-0121
Location DescriptionMARIN AND SONOMA COUNTIES NEAR VALLEY FORD FROM 0.4 MILE SOUTH OF ESTERO AMERICANO BRIDGE TO 0.2 MILE NORTH OF ESTERO AMERICANO BRIDGE
QA Service Level1 (Verified on 01/17/2017)

Sample Information

Sample Taken Date08/14/2018 Sample Unique Key12
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 testingNot set
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byKeith Last name of sampler or witnessed byIwamoto
Title of samplerCALTRANS METS QA INSPECTOR Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Number161425
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number4100F-SRA
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectednot given
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBack of Truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-08-14-12-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensLMC/RMCT HQ - Sacramento Concrete Testing Laboratory09/11/2018LMC/RM
Yes
09/11/2018