Sample Record

Owner Lab

  • CT SC - 3668 - Mira Mesa

DIME Sample ID 2013-09-24-9001881

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 Date09/24/2013 Sample Unique Key9001881
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 sampleConcrete Test Samples
The quantity of what the sample constitutesOne Wheel Barrel From where was the sample collectedOther
First name of sampler or witnessed byOsman Last name of sampler or witnessed byBotani
Title of samplerASR Telephone number of sampler(858) 688-1462
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameVulcan Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierBent no. 2-Footing
Structure namePalomar St. OC

Material Information

Material TypeConcrete The concrete mix design number105503F
The truck number from where the sample was collected390 The batch plant ticket number from where the sample was collectedLoad2
Concrete batch plantNot set The fabricator/manufacturer designation for the sampleVulcan Materials Company
A detailed description of where the material sample was collectedJobsite Where the material sample would have been placed if not sampledBent no. 2-Footing
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-09-24-9001881-9ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement ConcreteOsman Botani, CT SC - 3668 - Mira Mesa09/24/2013Osman Botani
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2013-09-24-9001881-9 ASTM C143-10a