Sample Record

Owner Lab

  • Caltrans Vallejo Field Laboratory

DIME Sample ID 2018-11-19-5

Project Information

Project IdentifiersProject ID: 213474
DEA: 010A8404
EFIS: 0113000058
DIST-CO-RTE-PM01-MEN-271-17.7/18.0
Award Date09/14/2018
Closeout Date12/04/2019
Work DescriptionBRIDGE REPLACEMENT, ROADWAY REALIGNMENT AND WIDENING.
Location DescriptionMENDOCINO COUNTY NEAR PIERCY FROM 0.7 MILE NORTH OF HIGHWAY 271/101 SEPARATION TO 0.4 MILE SOUTH OF THE SIDEHILL VIADUCT
QA Service Level1 (Verified on 08/24/2018)

Sample Information

Sample Taken Date11/19/2018 Sample Unique Key5
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 testing11/20/2018
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinder 6 x 12
The quantity of what the sample constitutes2 From where was the sample collectedSource
First name of sampler or witnessed bystacey Last name of sampler or witnessed byDavis
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKieCon Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberk4560-452a
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedunk
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedfabricator Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-11-19-5-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensWilliam SommerCaltrans Vallejo Field Laboratory12/17/2018William Sommer
No
Info