Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2013-10-28-9806

Project Information

Project IdentifiersProject ID: 7545
DEA: 044A0104
EFIS: 0400001101
DIST-CO-RTE-PM04-SOL-80-30.6/38.7
Award Date10/26/2012
Closeout Date02/17/2015
Work DescriptionREPLACE EXIST CONC PVMT, HMA SURFACING AND UPGRADE MBGR.
Location DescriptionSOLANO COUNTY IN VACAVILLE AND DIXON FROM 0.6 MILE EAST OF LEISURE TOWN ROAD OVERCROSSING TO 1.0 MILE WEST OF PEDRICK ROAD OVERCROSSING.
QA Service Level1 (Verified on 10/01/2012)

Sample Information

Sample Taken Date10/28/2013 Sample Unique Key9806
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 testing10/29/2013
Sample typeVerification A brief description of the sample4 x 8 concrete cylinders
The quantity of what the sample constitutes2 concrete cylinders From where was the sample collectedSource
First name of sampler or witnessed byRyan Last name of sampler or witnessed byCummings
Title of samplerQA Inspector Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameConFab 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 numberV80-25F
The truck number from where the sample was collectedNot set The batch plant ticket number from where the sample was collectedUnknown
Concrete batch plantNot set The fabricator/manufacturer designation for the sampleConFab
A detailed description of where the material sample was collectedBy formwork at precast plant 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 Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-10-28-9806-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensStanley Mak, CT HQ - QASI Bay Area Field Office11/25/2013Stanley Mak
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2013-10-28-9806-1 ASTM C39-10