Sample Record

Owner Lab

  • Rinker Materials

DIME Sample ID 2020-04-24-17

Project Information

Project IdentifiersProject ID: 213410
DEA: 024C1504
EFIS: 0213000132
DIST-CO-RTE-PM02-SIS-96-23.4/54.5
Award Date06/12/2019
Closeout Date01/04/2021
Work DescriptionAPC, BOX CULVERTS, CONCRETE HEADWALLS, AND JACKED WELDED STEEL PIPE.
Location DescriptionSISKIYOU COUNTY AT AND NEAR HAPPY CAMP AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF SWILLUP CREEK BRIDGE TO 3.6 MILES EAST OF THOMPSON CREEK BRIDGE
QA Service Level1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date04/24/2020 Sample Unique Key17
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 testing04/27/2020
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes8 From where was the sample collectedFabricator
First name of sampler or witnessed byJoe Last name of sampler or witnessed byBuckley
Title of samplerQC Supervisor Telephone number of sampler916-716-3405
Laboratory sample identification02-4C1504 Linked DIME Sample IDNONE
The fabricator/manufacturer/facility nameForterra Sacramento Transportation Laboratory (TL) NumberNone
Inspector Lot Number from the Transportation Laboratory (TL) FormNone Structure unique identifier47-SIS
Structure nameHappy Camp

Material Information

Material TypeConcrete The concrete mix design number13 special
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collected23
Concrete batch plantBesser The fabricator/manufacturer designation for the sample4-24-20
A detailed description of where the material sample was collectedconcrete sample from wheel barrow Where the material sample would have been placed if not sampledRCBC
From Lot No.NA Bag Lot No.NA

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-24-17-1ASTM C1064-12: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteJoe Buckley, Rinker Materials04/24/2020Joe Buckley
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2020-04-24-17-1 ASTM C1064-12