Sample Record

Owner Lab

  • ZZCT DIME Development Laboratory A - Bellflower

DIME Sample ID 2013-05-06-4114

Project Information

Project IdentifiersProject ID: 2557
DEA: 050E9604
EFIS: 0500000043
Award Date10/01/2009
Closeout Date05/23/2014
Work DescriptionConstruct Bridge And Rock Shed.
Location DescriptionIn Monterey County near Lucia from 0.6 mile north of Limekiln Creek Bridge to 1.4 miles south of Lucia
QA Service Level1 (Verified on 10/01/2012)

Sample Information

Sample Taken Date05/06/2013 Sample Unique Key4114
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 testing03/22/2013
Sample typeQuality Control A brief description of the sampleconcrete from the bridge deck
The quantity of what the sample constitutestwo cylinders From where was the sample collectedOther
First name of sampler or witnessed byrobert Last name of sampler or witnessed bypetska
Title of samplerQC Telephone number of sampler(708) 555-1745
Laboratory sample identification8301 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameCollected at jobsite Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierPitkins Curve Bridge
Structure namePitkins Bridge

Material Information

Material TypeConcrete The concrete mix design number555
The truck number from where the sample was collected444 The batch plant ticket number from where the sample was collected10123
Concrete batch plant23 The fabricator/manufacturer designation for the sample555
A detailed description of where the material sample was collectedCollected during pour into the bridge deck Where the material sample would have been placed if not sampledbridge deck
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-05-06-4114-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJohn DoeZZCT DIME Development Laboratory A - Bellflower05/07/2013John Doe
2013-05-06-4114-2ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement Concretetest testZZCT DIME Development Laboratory A - Bellflower06/19/2013test test
2013-05-06-4114-3ASTM C173-16: Standard Test Method for Air Content of Freshly Mixed Concrete by the Volumetric MethodBrett SoldanoZZCT DIME Development Laboratory A - Bellflower06/19/2015Brett Soldano