Sample Record

Owner Lab

  • Con-Fab California, LLC

DIME Sample ID 2021-10-04-13

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215753
DEA: 050N72U4
EFIS: 0520000169
DIST-CO-RTE-PM05-SB-101-4.4/R7.7
Award Date03/01/2021
Closeout DateNot set
Work DescriptionPlease cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description101 freeway in Summerland, CA
QA Service Level1 (Verified on 05/06/2021)

Sample Information

Sample Taken Date10/04/2021 Sample Unique Key13
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 testing10/05/2021
Sample typeQuality Control A brief description of the samplePCC 6''x12'' test cylinder
The quantity of what the sample constitutesThree Girders From where was the sample collectedJob Site
First name of sampler or witnessed byRoberto Last name of sampler or witnessed byReyes
Title of samplerQC Technician Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCon-Fab California LLC 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 numberSCCS950F
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected1787
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCasting Bed 1 West 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
2021-10-04-13-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensRoberto Reyes Perez, Con-Fab California, LLC10/05/2021Roberto Reyes Perez
Yes
10/06/2021
2021-10-04-13-2ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement ConcreteRoberto Reyes Perez, Con-Fab California, LLC10/04/2021Roberto Reyes Perez
Yes
10/06/2021
2021-10-04-13-3ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteRoberto Reyes Perez, Con-Fab California, LLC10/04/2021Roberto Reyes Perez
Yes
10/06/2021
2021-10-04-13-4ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of ConcreteRoberto Reyes Perez, Con-Fab California, LLC10/04/2021Roberto Reyes Perez
Yes
10/06/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-10-04-13-1 ASTM C39-18 (Verified)
DIME Test ID: 2021-10-04-13-2 ASTM C143-20 (Verified)
DIME Test ID: 2021-10-04-13-3 ASTM C1064-17 (Verified)
DIME Test ID: 2021-10-04-13-4 ASTM C138-17a (Verified)