Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-05-20-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215073
DEA: 034H5604
EFIS: 0318000332
DIST-CO-RTE-PM03-PLA-65-R12.9/R13.1
Award Date09/02/2020
Closeout Date09/23/2021
Work DescriptionCONSTRUCT SLOPE PAVING AND PLACE EROSION CONTROL.
Location DescriptionPLACER COUNTY IN LINCOLN AT THE SOUTH INGRAM SLOUGH BRIDGE
QA Service Level1 (Verified on 09/10/2020)

Sample Information

Sample Taken Date05/20/2021 Sample Unique Key6
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 testing05/21/2021
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes4 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byRaymond Last name of sampler or witnessed byMacy
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) Number174458
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameFooting of slope paving

Material Information

Material TypeConcrete The concrete mix design numberZ5545210
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 collectedTruck 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
2021-05-20-6-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT HQ - Sacramento Concrete Testing Laboratory05/27/2021MM
Yes
05/27/2021
2021-05-20-6-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensGUESTCT HQ - Sacramento Concrete Testing Laboratory06/17/2021GUEST
Yes
06/18/2021