Sample Record

Owner Lab

  • CT D11 - San Diego Structures Construction Field Laboratory Office 1

DIME Sample ID 2013-09-18-9459147

Project Information

Project IdentifiersProject ID: 7780
DEA: 112T1824
EFIS: 1100020051
DIST-CO-RTE-PM11-SD-805-4.7/5.6
Award Date01/03/2013
Closeout Date09/07/2018
Work DescriptionREPLACE STRUCTURE AND CONSTRUCT DIRECT ACCESS RAMP (DAR).
Location DescriptionSAN DIEGO COUNTY IN CHULA VISTA FROM 0.4 MILE SOUTH OF EAST PALOMAR STREET OVERCROSSING TO 0.1 MILE NORTH OF NAPLES STREET UNDERCROSSING
QA Service Level1 (Verified on 12/10/2012)

Sample Information

Sample Taken Date09/18/2013 Sample Unique Key9459147
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeVerification A brief description of the samplestructural concrete
The quantity of what the sample constitutes1Bag From where was the sample collectedOther
First name of sampler or witnessed byOsman Last name of sampler or witnessed byBotani
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameVulcan Mission Valley 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 number105503F
The truck number from where the sample was collectedNot set The batch plant ticket number from where the sample was collected12
Concrete batch plantNot set The fabricator/manufacturer designation for the sampleNot set
A detailed description of where the material sample was collectedJobsite 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
2013-09-18-9459147-1ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement ConcreteOsman BotaniCT D11 - San Diego Structures Construction Field Laboratory Office 109/18/2013Osman Botani
No
None Info