Sample Record

Owner Lab

  • Caltrans Vallejo Field Laboratory

DIME Sample ID 2014-02-12-12005897

Project Information

Project IdentifiersProject ID: 208572
DEA: 100L3304
EFIS: 1000000100
COOP: 10355
Permit Numbers: 1012NMC0508
Award DateNot set
Closeout Date03/09/2020
Work DescriptionReconsteuct SR99/Kiernan Interchange
Location DescriptionCity of Salida, in STA County
QA Service Level1 (Verified on 03/25/2013)

Sample Information

Sample Taken Date02/12/2014 Sample Unique Key12005897
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 testing02/13/2014
Sample typeInformational A brief description of the sampleMix Design K6090-621SCC
The quantity of what the sample constitutes2 concrete cylinders From where was the sample collectedSource
First name of sampler or witnessed byOsmar Last name of sampler or witnessed byRodriguez
Title of samplerQA ASMR Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameKieCon Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure namePCPS Wide Flange Girder No. G-3

Material Information

Material TypeConcrete The concrete mix design numberK6090-621SCC
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 sampleKieCon
A detailed description of where the material sample was collectedBy formwork at precast plant during pour inspection (Third Truck Load) 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 NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-02-12-12005897-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensStanley MakCaltrans Vallejo Field Laboratory02/19/2014Stanley Mak