Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-01-12-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215355
DEA: 041W4804
EFIS: 0421000028
DIST-CO-RTE-PM04-NAP-121,128-16.08/22.08
Award Date08/21/2020
Closeout DateNot set
Work DescriptionFire damage
Location DescriptionNapa county, routes 121 and 128
QA Service Level1 (Verified on 12/01/2020)

Sample Information

Sample Taken Date01/12/2021 Sample Unique Key10
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 testing01/15/2021
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 byM Last name of sampler or witnessed bySami Zamani
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) Number193413
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberCT2530
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected00000000000000000000
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCHUTE FROM TRUCK 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
2021-01-12-10-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT HQ - Sacramento Concrete Testing Laboratory01/26/2021MM
Yes
01/26/2021