Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-09-03-8

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215231
DEA: 042A3324
EFIS: 0414000039
DIST-CO-RTE-PM04-ALA-84-10.8/18
Award Date02/22/2021
Closeout DateNot set
Work DescriptionNILES CANYON SAFETY PROJECT
Location DescriptionALAMEDA CREEK BR OH (33-0034) BRIDGE RAIL REPLACEMENT, 2,060 LF; AND STONYBROOK CREEK BRIDGE (SLAB BRIDGE)
QA Service Level1 (Verified on 10/19/2020)

Sample Information

Sample Taken Date09/03/2021 Sample Unique Key8
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 testing09/08/2021
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 byIbrahim Last name of sampler or witnessed byMarji
Title of samplerASR Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBridgeway Transportation Laboratory (TL) Number180213
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameBridge Deck

Material Information

Material TypeConcrete The concrete mix design numberH45H1521
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedUnknown
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedMixer 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
2021-09-03-8-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSACT HQ - Sacramento Concrete Testing Laboratory09/10/2021SA
Yes
09/10/2021