Sample Record

Owner Labs

  • CT D04 - Fairfield Construction Field Office 59-545
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-11-19-9

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214562
DEA: 040J7104
EFIS: 0414000029
DIST-CO-RTE-PM04-SOL-80-1.8/4.4
Award Date03/17/2020
Closeout DateNot set
Work DescriptionRAISE BRIDGE AND PLACE STRUCTURAL CONCRETE.
Location DescriptionSOLANO COUNTY IN VALLEJO AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 12/03/2019)

Sample Information

Sample Taken Date11/19/2021 Sample Unique Key9
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 testing11/23/2021
Sample typeQuality Assurance A brief description of the sampleAbut 5 Barrier
The quantity of what the sample constitutes3 Cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byPhu Last name of sampler or witnessed byThan
Title of samplerTE Civil Telephone number of sampler510-867-6121
Laboratory sample identification7 Linked DIME Sample IDNA
The fabricator/manufacturer/facility nameSyar Lake Herman Transportation Laboratory (TL) NumberTL-502
Inspector Lot Number from the Transportation Laboratory (TL) FormNA Structure unique identifier23-0088
Structure nameBenicia Road OC

Material Information

Material TypeConcrete The concrete mix design numberCT063AC5
The truck number from where the sample was collected8092 The batch plant ticket number from where the sample was collected81145567
Concrete batch plantSyar Industries Lake Herman The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedwheelbarrow Where the material sample would have been placed if not sampledJobsite Wingwall
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-11-19-9-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory11/29/2021SA
Yes
11/29/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-11-19-9-1 ASTM C39-17a (Verified)