Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-09-22-43

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214640
DEA: 042J7204
EFIS: 0415000016
DIST-CO-RTE-PM04-CC-580-1.17
Award Date02/25/2021
Closeout Date12/01/2023
Work DescriptionSTEGE DRAIN SUPER-STRUCTURE, PRECAST VOIDED SLABS
Location DescriptionCONTRA COSTA COUNTY IN RICHMOND FROM 0.3 MILE EAST OF STEGE DRAIN BRIDGE TO 0.3 MILE WEST OF BAYVIEW AVENUE OVERCROSSING
QA Service Level1 (Verified on 01/27/2020)

Sample Information

Sample Taken Date09/22/2021 Sample Unique Key43
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 testing09/29/2021
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byRam Last name of sampler or witnessed bySah
Title of samplerASR Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCEMEX Victorville Transportation Laboratory (TL) Number04150000161
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number4EACC5KS
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 collectedChute Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-22-43-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory09/30/2021SA
Yes
09/30/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-09-22-43-1 ASTM C39-17a (Verified)