Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-05-04-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214562
DEA: 040J7104
EFIS: 0414000029
DIST-CO-RTE-PM04-SOL-80-1.8/4.4
Award Date03/17/2020
Closeout DateNot set
Work DescriptionRAISE BRIDGE AND PLACE STRUCTURAL CONCRETE.
Location DescriptionSOLANO COUNTY IN VALLEJO AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 12/03/2019)

Sample Information

Sample Taken Date05/04/2021 Sample Unique Key1
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 testing05/05/2021
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes4 cylinders From where was the sample collectedSupplier
First name of sampler or witnessed byMohan Last name of sampler or witnessed byAyadurai
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSyer Lake Herman, Vallejo CA Transportation Laboratory (TL) Number2021-05-04-1
Inspector Lot Number from the Transportation Laboratory (TL) Form210855 Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberCT072AC5W
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected81141593
Concrete batch plantSYAR Lake Herman The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedLoad 1 from tailgate 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
2021-05-04-1-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT HQ - Sacramento Concrete Testing Laboratory05/11/2021MM
Yes
05/11/2021
2021-05-04-1-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT HQ - Sacramento Concrete Testing Laboratory06/01/2021MM
Yes
06/01/2021