Sample Record

Owner Labs

  • CT SC Sub-unit 3676-106
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-07-12-34

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214970
DEA: 044J2104
EFIS: 0415000288
DIST-CO-RTE-PM04-NAP-121-18.6
Award Date12/15/2020
Closeout DateNot set
Work DescriptionSTRUCTURE EXCAVATION, INSTALL TEMPORARY SIGNAL SYSTEM AND CONCRETE.
Location DescriptionNAPA COUNTY NEAR NAPA AT CAPELL CREEK BRIDGE
QA Service Level1 (Verified on 10/19/2020)

Sample Information

Sample Taken Date07/12/2021 Sample Unique Key34
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 testing07/19/2021
Sample typeQuality Assurance A brief description of the sample4x8 concrete cylinders
The quantity of what the sample constitutes3 Cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byNANA Last name of sampler or witnessed byBudu
Title of samplerUnknown Telephone number of sampler510-867-4517
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHarold Smith and Sons Transportation Laboratory (TL) Number28 - Napa
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier21-0115
Structure nameNew Retaining Wall

Material Information

Material TypeConcrete The concrete mix design numberCT1 Harold Smith
The truck number from where the sample was collected1132 The batch plant ticket number from where the sample was collected168324
Concrete batch plantHarold Smith St Helena The fabricator/manufacturer designation for the sampleHarold Smith
A detailed description of where the material sample was collectedBack of Truck Where the material sample would have been placed if not sampledRetaining Wall for Capell Creek
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-07-12-34-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSACT HQ - Sacramento Concrete Testing Laboratory08/09/2021SA
Yes
08/09/2021