Sample Record

Owner Lab

  • CT D03 - Sacramento Sanders Structures Construction Field Office

DIME Sample ID 2014-06-24-8159571

Project Information

Project IdentifiersProject ID: 209175
DEA: 030F2204
EFIS: 0300000072
DIST-CO-RTE-PM03-ED-50-R30.7/R31.7
Award Date02/25/2014
Closeout Date07/30/2015
Work DescriptionREPLACE BRIDGE.
Location DescriptionSLY PARK UNDERCROSSING
QA Service Level1 (Verified on 11/01/2013)

Sample Information

Sample Taken Date06/24/2014 Sample Unique Key8159571
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 testing06/25/2014
Sample typeVerification A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 6x12 concrete cylinders From where was the sample collectedOther
First name of sampler or witnessed byAlfredo Last name of sampler or witnessed byCarranza
Title of samplerASR Telephone number of sampler(916) 203-5039
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier25-0150
Structure nameSly Park Rd UC

Material Information

Material TypeConcrete The concrete mix design numberF628AFST0
The truck number from where the sample was collected19 The batch plant ticket number from where the sample was collected1045056
Concrete batch plant1A The fabricator/manufacturer designation for the sampleNot set
A detailed description of where the material sample was collectedDischarge from concrete truck into wheelbarrow Where the material sample would have been placed if not sampledAbutment 2 wingwall/retaining wall footing
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-06-24-8159571-1ASTM C1064-08: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteAlfredo CarranzaCT D03 - Sacramento Sanders Structures Construction Field Office06/24/2014Alfredo Carranza
Yes
06/30/2014
2014-06-24-8159571-2ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement ConcreteAlfredo CarranzaCT D03 - Sacramento Sanders Structures Construction Field Office06/24/2014Alfredo Carranza
Yes
06/30/2014
2014-06-24-8159571-3ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBrian EwingCT D03 - Sacramento Sanders Structures Construction Field Office07/22/2014Brian Ewing
Yes
07/23/2014

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2014-06-24-8159571-1 ASTM C1064-08 (Verified)
DIME Test ID: 2014-06-24-8159571-2 ASTM C143-10a (Verified)
DIME Test ID: 2014-06-24-8159571-3 ASTM C39-10 (Verified)