Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2020-02-13-23
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212300 DEA: 044G3804 EFIS: 0412000463 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-116-30.9/31.4 |
| Award Date | 03/15/2019 |
| Closeout Date | 02/16/2024 |
| Work Description | Construct Bridge, Retaining Walls, Traffic Signal |
| Location Description | SONOMA COUNTY NEAR COTATI FROM 0.3 MILE EAST OF HESSEL ROAD TO 0.1 MILE EAST OF BARTLESON ROAD |
| QA Service Level | 1 (Verified on 08/19/2019) |
Sample Information
| Sample Taken Date | 02/13/2020 | Sample Unique Key | 23 |
|---|---|---|---|
| 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 testing | 02/14/2020 |
| Sample type | Quality Control | A brief description of the sample | 6"x12" Cylinders |
| The quantity of what the sample constitutes | 2 - 6x12 cylinders | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Parr |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Kie-Con Antioch | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | K5110 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 00000 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Concrete sample from wheelbarrow | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2020-02-13-23-1 | ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | Andre Totari, CT HQ - QASI Bay Area Field Office | 03/12/2020 | Andre Totari | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-02-13-23-1 ASTM C39-10