Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-02-26-14

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210673
DEA: 042640F4
EFIS: 0400020132
COOP: 042308A3
DIST-CO-RTE-PM04-SON-101-4.0/7.1
Award Date08/08/2019
Closeout DateNot set
Work DescriptionDESIGN THE NORTHERLY SEGMENT OF THE MARIN-SONOMA NARROWS PROJECT AND INCLUDES SOUND WALLS, BRIDGES, MEDIAN WIDENING AND RAMP WIDENING.
Location DescriptionJUST NORTH OF THE U.S. 101 AND STATE ROUTE 116 CONNECTION TO 0.3 MILE NORTH OF THE CORONA ROAD OVERCROSSING IN THE CITY OF PETALUMA.
QA Service Level1 (Verified on 08/19/2019)

Sample Information

Sample Taken Date02/26/2021 Sample Unique Key14
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 testing03/22/2021
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 byJeremy Last name of sampler or witnessed byLight
Title of samplerASR Telephone number of sampler510-393-9273
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Transportation Laboratory (TL) Number168108
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name20-0301 RAUC Bnt2 ST2 iles

Material Information

Material TypeConcrete The concrete mix design number4700
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedUnknown
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedChute 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
2021-02-26-14-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT HQ - Sacramento Concrete Testing Laboratory03/26/2021MM
Yes
03/26/2021