Sample Record

Owner Lab

  • CT QASI - Sacramento Field Laboratory

DIME Sample ID 2021-07-20-1

Project Information

Project IdentifiersProject ID: 9999
DEA: 00000000
EFIS: 0000000000
COOP: 99999333399
MINOR: 333333
Permit Numbers: 555555 0400NRT0000
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level1 (Verified on 04/05/2013)

Sample Information

Sample Taken Date07/20/2021 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing07/20/2021
Sample typeQuality Control A brief description of the sampleconcrete, aggregate
The quantity of what the sample constitutes50 CY From where was the sample collectedFabricator
First name of sampler or witnessed byArmando Last name of sampler or witnessed byContreras
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTest 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 numberMix Design Test
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedBatch Ticket Number
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedback of truck, stockpile 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
2021-07-20-1-1ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of ConcreteArmando ContrerasCT QASI - Sacramento Field Laboratory07/20/2021Armando Contreras
Yes
07/20/2021
2021-07-20-1-2ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement ConcreteArmando ContrerasCT QASI - Sacramento Field Laboratory07/20/2021Armando Contreras
No
Info
2021-07-20-1-3ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensArmando ContrerasCT QASI - Sacramento Field Laboratory07/20/2021Armando Contreras
No
Info