Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2021-06-22-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214422
DEA: 040J6424
EFIS: 0414000476
DIST-CO-RTE-PM04-SON-101-32.8/R54.2
Award Date12/24/2019
Closeout DateNot set
Work DescriptionCRACK, SEAT AND OVERLAY WITH RHMA AND HMA, AND REPLACE CULVERTS.
Location DescriptionSONOMA COUNTY AT VARIOUS LOCATIONS FROM LIMERICK LANE OVERCROSSING TO ROUTE 101/128 SEPARATION
QA Service Level1 (Verified on 09/23/2019)

Sample Information

Sample Taken Date06/22/2021 Sample Unique Key19
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 testing06/25/2021
Sample typeQuality Control A brief description of the sampleSCC concrete
The quantity of what the sample constitutes2.8 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byAvery Last name of sampler or witnessed byFlores
Title of samplerQuality Control Manager Telephone number of sampler(925) 525-8562
Laboratory sample identification21135 Linked DIME Sample ID
The fabricator/manufacturer/facility nameOldcastle Infrastructure Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier04-son-101-32.8/R54.2
Structure nameState Hwy in Sonoma County 101/128 Separation

Material Information

Material TypeConcrete The concrete mix design number55
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected92860
Concrete batch plantOldcastle Infrastructure The fabricator/manufacturer designation for the sampleMix No. 55
A detailed description of where the material sample was collectedTravelling Bucket Where the material sample would have been placed if not sampledRBC
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-22-19-1ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteArmando Contreras, CT HQ - QASI Sacramento Field Office06/25/2021Armando Contreras
Yes
06/25/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-06-22-19-1 ASTM C1064-17 (Verified)