Sample Record

Owner Lab

  • CT D03 - Sacramento Sanders Structures Construction Field Office

DIME Sample ID 2014-07-03-8107873

Project Information

Project IdentifiersProject ID: 209175
DEA: 030F2204
EFIS: 0300000072
Award Date02/25/2014
Closeout Date07/30/2015
Work DescriptionREPLACE BRIDGE.
QA Service Level1 (Verified on 11/01/2013)

Sample Information

Sample Taken Date07/03/2014 Sample Unique Key8107873
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 testing07/04/2014
Sample typeVerification A brief description of the sampleConcrete in wheelbarrow
The quantity of what the sample constitutesConcrete in wheelbarrow From where was the sample collectedOther
First name of sampler or witnessed byBrandon Last name of sampler or witnessed byMiller
Title of samplerStructure Representative Telephone number of sampler(916) 505-6839
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier25-0042
Structure nameSly Park Rd UC

Material Information

Material TypeConcrete The concrete mix design numberF628AFST0
The truck number from where the sample was collected26 The batch plant ticket number from where the sample was collected1045616
Concrete batch plant1A The fabricator/manufacturer designation for the sampleNot set
A detailed description of where the material sample was collectedDischarge from concrete truck into wheelbarrow Where the material sample would have been placed if not sampledStage 1 Abutment 1 Retaining Wall Footing
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-07-03-8107873-1ASTM C1064-08: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteBrandon Miller, CT D03 - Sacramento Sanders Structures Construction Field Office07/03/2014Brandon Miller

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments

DIME Test ID: 2014-07-03-8107873-1 ASTM C1064-08 (Verified)