Sample Record

Owner Lab

  • Con-Fab California Corporation - Lathrop

DIME Sample ID 2021-06-28-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215424
DEA: 024G4404
EFIS: 0214000013
DIST-CO-RTE-PM02-SIS-3-38.0/38.6
Award Date03/22/2021
Closeout DateNot set
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionSISKIYOU COUNTY ABOUT 6 MILES NORTH OF FORT JONES FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF LOWER MOFFETT CREEK ROAD
QA Service Level1 (Verified on 01/19/2021)

Sample Information

Sample Taken Date06/28/2021 Sample Unique Key3
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 testing06/29/2021
Sample typeQuality Control A brief description of the sampleConcrete 6 x 12 Cylinders
The quantity of what the sample constitutes24.25 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byMark Patrick Last name of sampler or witnessed byBaddu
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameConFab California, LLC Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number98LV25AF
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected3416
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBed 1B, 3rd Truck 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
2021-06-28-3-1ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement ConcreteFerdinand RosalCon-Fab California Corporation - Lathrop06/28/2021Danny Cabias
Yes
09/22/2021Slump Flow = 24.5"
2021-06-28-3-2ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of ConcreteFerdinand RosalCon-Fab California Corporation - Lathrop06/28/2021Danny Cabias
Yes
09/22/2021
2021-06-28-3-3ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure MethodFerdinand RosalCon-Fab California Corporation - Lathrop06/28/2021Danny Cabias
Yes
09/22/20217% Air Content