Sample Record

Owner Lab

  • Universal Precast Concrete

DIME Sample ID 2021-09-03-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215126
DEA: 010G33U4
EFIS: 0120000002
DIST-CO-RTE-PM01-LAK-20-5.1/6.3
Award Date11/17/2020
Closeout DateNot set
Work DescriptionWiden shoulders and replace bridge with box culvert.
Location DescriptionLAKE COUNTY NEAR UPPER LAKE FROM 0.4 MILE WEST OF WITTER SPRINGS ROAD TO 0.4 MILE EAST OF BACHELOR CREEK BRIDGE
QA Service Level1 (Verified on 08/26/2020)

Sample Information

Sample Taken Date09/03/2021 Sample Unique Key12
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 testing09/03/2021
Sample typeQuality Control A brief description of the sampleconc. cylinder
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
First name of sampler or witnessed byDan Last name of sampler or witnessed byWeippert
Title of samplerQC Manager Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUniversal Precast Concrete 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 numberPC65A0E2
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected001652
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedback of 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
2021-09-03-12-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMike BoakUniversal Precast Concrete09/10/2021Mike Boak
Yes
09/13/2021
2021-09-03-12-2ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMike BoakUniversal Precast Concrete10/01/2021Mike Boak
Yes
10/28/2021