Sample Record

Owner Lab

  • Con-Fab California, LLC

DIME Sample ID 2020-10-08-23

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214572
DEA: 034E62U4
EFIS: 0319000068
DIST-CO-RTE-PM03-ED-50-18.5/24.2
Award Date05/04/2020
Closeout DateNot set
Work DescriptionCONSTRUCT UC, MED BARRIER, DRAINAGE SYSTEMS & HMA OVERLAY.
Location DescriptionEL DORADO COUNTY IN AND NEAR PLACERVILLE FROM MOSQUITO ROAD UNDERCROSSING TO SCHNELL SCHOOL ROAD UNDERCROSSING AND FROM 0.2 MILE WEST OF STILL MEADOW ROAD TO 0.2 MILE EAST OF CARSON ROAD
QA Service Level1 (Verified on 03/18/2020)

Sample Information

Sample Taken Date10/08/2020 Sample Unique Key23
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 testing10/08/2020
Sample typeQuality Control A brief description of the samplePCC 6"x12" test cylinder
The quantity of what the sample constitutes2 girders From where was the sample collectedManufacturer
First name of sampler or witnessed byJorge Last name of sampler or witnessed byGarcia
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCon-Fab California, LLC Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberSCC-S98-25FA
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected2565
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischarge chute from back of truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-10-08-23-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJorge Garcia, Con-Fab California, LLC10/09/2020Jorge Garcia
Yes
10/22/2020

Sample File Attachments

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Test File Attachments


DIME Test ID: 2020-10-08-23-1 ASTM C39-18 (Verified)