Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2020-10-20-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212618
DEA: 044G0564
EFIS: 0417000154
DIST-CO-RTE-PM04-ALA-680-M2.4/M12.4
Award Date11/16/2017
Closeout DateNot set
Work DescriptionROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS
Location DescriptionFREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING
QA Service Level1 (Verified on 10/16/2017)

Sample Information

Sample Taken Date10/20/2020 Sample Unique Key3
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 testing10/21/2020
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byJane Last name of sampler or witnessed byLillard
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) Number95707
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number63
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected00000000000000000
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedJobsite Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-10-20-3-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensPMCT HQ - Sacramento Concrete Testing Laboratory11/17/2020PM
Yes
11/19/2020