DIME - Sample Record for DIME Sample ID 2021-01-15-4

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Sample Record

Owner Lab

CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-01-15-4

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Project Information

Project Identifiers	Project ID: 214873 DEA: 010F3104 EFIS: 0115000108
DIST-CO-RTE-PM	01-DN-101-39.8
Award Date	05/28/2020
Closeout Date	10/07/2022
Work Description	REMOVE REINFORCED CONCRETE BOX CULVERT AND CONSTRUCT BRIDGE.
Location Description	DEL NORTE COUNTY NEAR SMITH RIVER AT DOMINIE CREEK
QA Service Level	1 (Verified on 06/04/2020)

Sample Information

Sample Taken Date	01/15/2021	Sample Unique Key	4
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 testing	01/19/2021
Sample type	Quality Assurance	A brief description of the sample	3x6 UHPC Cylinders
The quantity of what the sample constitutes	20 Cylinders	From where was the sample collected	Job Site
First name of sampler or witnessed by	Greg	Last name of sampler or witnessed by	Nault
Title of sampler	LaFarge Rep Project Manager	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	LaFarge	Transportation Laboratory (TL) Number	926081
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name	Dominie

Material Information

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

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments
2021-01-15-4-1	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Mike Mullins, CT HQ - Sacramento Concrete Testing Laboratory	01/19/2021	Spencer Adams	Yes	01/20/2021	Specimen #1 should be excluded from average due to testing error. Actual calculated average: 17273
2021-01-15-4-2	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Mike Mullins, CT HQ - Sacramento Concrete Testing Laboratory	01/21/2021	Mike Mullins	Yes	01/21/2021
2021-01-15-4-3	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Mike Mullins, CT HQ - Sacramento Concrete Testing Laboratory	01/23/2021	Mike Mullins	Yes	01/23/2021
2021-01-15-4-4	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Michael Mullins, CT HQ - Sacramento Concrete Testing Laboratory	02/12/2021	Phillip Montes	Yes	02/16/2021

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2021-01-15-4-1 ASTM C39-17a (Verified)
DIME Test ID: 2021-01-15-4-2 ASTM C39-17a (Verified)
DIME Test ID: 2021-01-15-4-3 ASTM C39-17a (Verified)
DIME Test ID: 2021-01-15-4-4 ASTM C39-17a (Verified)