Sample Record

Owner Labs

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

DIME Sample ID 2018-09-26-11

Project Information

Project IdentifiersProject ID: 211931
DEA: 043G6414
EFIS: 0416000348
DIST-CO-RTE-PM04-NAP-29-37.0
Award Date03/17/2017
Closeout Date04/22/2020
Work DescriptionSCOUR REPLACE BRIDGE
Location DescriptionNAPA COUNTY IN CALISTOGA AT NAPA RIVER BRIDGE
QA Service Level1 (Verified on 02/15/2017)

Sample Information

Sample Taken Date09/26/2018 Sample Unique Key11
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 testing10/01/2018
Sample typeAcceptance A brief description of the sample6 X 12 Concrete Cylinder
The quantity of what the sample constitutes55.50 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 nameHarold Smith Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierAbutment No 2
Structure nameNapa River Bridge Calistoga

Material Information

Material TypeConcrete The concrete mix design numberCT2
The truck number from where the sample was collected121 The batch plant ticket number from where the sample was collected47321
Concrete batch plantHarold Smith St Helena The fabricator/manufacturer designation for the sampleHarold Smith
A detailed description of where the material sample was collectedBack of Truck Where the material sample would have been placed if not sampledAbutment Seat
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-09-26-11-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensRMCT HQ - Sacramento Concrete Testing Laboratory10/24/2018RM
Yes
10/24/2018