Sample Record

Owner Lab

  • Caltrans Vallejo Field Laboratory

DIME Sample ID 2019-01-28-14

Project Information

Project IdentifiersProject ID: 213337
DEA: 024F5404
EFIS: 0213000004
DIST-CO-RTE-PM02-SIS-5-R15.3/R16.5
Award Date07/30/2018
Closeout DateNot set
Work DescriptionBRIDGE REPLACEMENT - SOUTHBOUND ONLY
Location DescriptionSISKIYOU COUNTY NEAR WEED FROM 0.1 MILE SOUTH OF DEETZ ROAD UNDERCROSSING TO 0.6 MILE NORTH OF BLACK BUTTE OVERHEAD 02-0004L
QA Service Level1 (Verified on 11/14/2018)

Sample Information

Sample Taken Date01/28/2019 Sample Unique Key14
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 testing01/29/2019
Sample typeInformational A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
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 numberK556554522
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
2019-01-28-14-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensWilliam SommerCaltrans Vallejo Field Laboratory02/25/2019William Sommer
No
Info