Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-06-15-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214114
DEA: 040A5394
EFIS: 0418000244
DIST-CO-RTE-PM04-SOL-80,12-11.4/12.8, 2.1/2.8
Award DateNot set
Closeout DateNot set
Work DescriptionWiden EB SR-12 Connector, Construct 3 ramps & 2 box girder bridges, remove existing bridge, etc.
Location DescriptionI-80/I-680/Route 12 Interchange
QA Service Level1 (Verified on 04/23/2019)

Sample Information

Sample Taken Date06/15/2021 Sample Unique Key18
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 testing06/19/2021
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 byAlex Last name of sampler or witnessed byLana
Title of samplerASR Telephone number of sampler510-714-7055
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMCM Transportation Laboratory (TL) Number051919
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier23-02576
Structure nameStem and Soffit

Material Information

Material TypeConcrete The concrete mix design number1615776
The truck number from where the sample was collectedPour 18 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 collectedBent 2 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
2021-06-15-18-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSACT HQ - Sacramento Concrete Testing Laboratory06/29/2021SA
Yes
06/29/2021