Sample Record

Owner Lab

  • ZZCT DIME Development Laboratory A - Bellflower - Internal

DIME Sample ID 2013-03-25-9000009

Project Information

Project IdentifiersProject ID: 1783
DEA: 041123U4
EFIS: 0400000378
COOP: 042399
DIST-CO-RTE-PM04-SM--61.2/64.9
Award Date12/13/2006
Closeout Date08/27/2013
Work DescriptionDevil?s Slide - Tunnel Project - Two borings
Location Descriptionroute 1 South of Pacifica
QA Service Level1 (Verified on 06/21/2012)

Sample Information

Sample Taken Date03/25/2013 Sample Unique Key9000009
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 testing03/01/2013
Sample typeQuality Control A brief description of the sampleCompressive Strength samples
The quantity of what the sample constitutes2 cyliners From where was the sample collectedSource
First name of sampler or witnessed byRobert Last name of sampler or witnessed byPetska
Title of samplerQC Technician Telephone number of sampler708-382-1745
Laboratory sample identification1 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameCemex Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier11/1/6000
Structure nameNew Bridge

Material Information

Material TypeConcrete The concrete mix design number123456
The truck number from where the sample was collected23 The batch plant ticket number from where the sample was collected33
Concrete batch plant51 The fabricator/manufacturer designation for the sample54
A detailed description of where the material sample was collectedJobsite Where the material sample would have been placed if not sampledBridge Footing
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-03-25-9000009-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensRobert Doe, ZZCT DIME Development Laboratory A - Bellflower - Internal03/26/2013Robert Doe
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2013-03-25-9000009-1 ASTM C39-10