Sample Record

Owner Lab

  • SCST, LLC.

DIME Sample ID 2013-07-16-261440

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 Date07/16/2013 Sample Unique Key261440
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 testing07/17/2013
Sample typeQuality Control A brief description of the sampleconcrete cylinders
The quantity of what the sample constitutes4 cylinders From where was the sample collectedSource
First name of sampler or witnessed byJared Last name of sampler or witnessed byTietjen
Title of samplerField Technician Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameHigh Grade Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeConcrete The concrete mix design numberHG53401R
The truck number from where the sample was collected188 The batch plant ticket number from where the sample was collected810650
Concrete batch plantNot set The fabricator/manufacturer designation for the sampleNot set
A detailed description of where the material sample was collectedAbutment no. 4 - Seat and Wing Wall - 2nd Lift - Middle of Structure Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-07-16-261440-1CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure MethodJared TietjenSCST, LLC.07/16/2013Jared Tietjen
Yes
07/24/2013
2013-07-16-261440-2CTM 556-June 2010: Method of Test for Slump of Fresh Portland Cement ConcreteJared TietjenSCST, LLC.07/16/2013Jared Tietjen
Yes
07/24/2013
2013-07-16-261440-3CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete CylindersAnthony WiantSCST, LLC.07/23/2013Anthony Wiant
Yes
07/24/2013
2013-07-16-261440-4ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensAnthony WiantSCST, LLC.08/13/2013Anthony Wiant
Yes
08/14/2013