Sample Record

Owner Labs

  • CT SC - 3672 - Petaluma
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2018-10-31-5

Project Information

Project IdentifiersProject ID: 209384
DEA: 04264094
EFIS: 0400000735
COOP: 042531
Award Date01/21/2016
Closeout Date06/03/2020
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/03/2020)

Sample Information

Sample Taken Date10/31/2018 Sample Unique Key5
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 testing11/02/2018
Sample typeQuality Assurance A brief description of the sample6X12 cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byHarry Last name of sampler or witnessed bySuryantoro
Title of samplerASR Telephone number of sampler1-707-333-4263
Laboratory sample identificationUnknown Linked DIME Sample ID
The fabricator/manufacturer/facility nameSuperior Ready Mix Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierOH 4 SIGN STRUCTURE 4
Structure nameOH 4 SIGN STRUCTURE 4

Material Information

Material TypeConcrete The concrete mix design number590DH
The truck number from where the sample was collected57 The batch plant ticket number from where the sample was collected267804
Concrete batch plant The fabricator/manufacturer designation for the sampleSuperior Concrete
A detailed description of where the material sample was collected2 6X12 Cylinders Where the material sample would have been placed if not sampledsign structure L CIDH
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-10-31-5-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensLMC, CT HQ - Sacramento Concrete Testing Laboratory11/28/2018LMC

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments

DIME Test ID: 2018-10-31-5-1 ASTM C39-10 (Verified)