Sample Record

Owner Lab

  • SCST, LLC.

DIME Sample ID 2013-05-14-14202236

Project Information

Project IdentifiersProject ID: 8127
DEA: 080N5904
EFIS: 0800000533
DIST-CO-RTE-PM08-SBD-40-R85.2
Award Date02/07/2013
Closeout Date05/11/2015
Work DescriptionCONSTRUCT PC/PS BULB-TEE GIRDER BRIDGE
Location DescriptionSAN BERNARDINO COUNTY NEAR ESSEX AT VAN WINKLE WASH BRIDGE
QA Service Level1 (Verified on 12/10/2012)

Sample Information

Sample Taken Date05/14/2013 Sample Unique Key14202236
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 testing05/28/2013
Sample typeQuality Control A brief description of the sampleConcrete Test Samples
The quantity of what the sample constitutesCyliners From where was the sample collectedSource
First name of sampler or witnessed byFarzad Last name of sampler or witnessed byTasbihgoo
Title of samplerSMR Telephone number of sampler(510) 599-3729
Laboratory sample identificationL70-1 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier10.5
Structure nameBridge 2

Material Information

Material TypeConcrete The concrete mix design number08newe
The truck number from where the sample was collected1232 The batch plant ticket number from where the sample was collected324
Concrete batch plant3234 The fabricator/manufacturer designation for the sample234
A detailed description of where the material sample was collectedtesting DIME 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
2013-05-14-14202236-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensFarzad TasbihgooCT HQ - Sacramento Office of Structural Materials Field Laboratory05/28/2013Farzad Tasbihgoo
Yes
05/28/2013Testing