Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2014-08-27-12

Project Information

Project IdentifiersProject ID: 209247
DEA: 024E6304
EFIS: 0212000010
DIST-CO-RTE-PM02-SIS-96-56.0
Award Date04/08/2014
Closeout Date01/10/2017
Work DescriptionFISH PASSAGE - REPLACE CULVERT WITH BRIDGE
Location DescriptionSISKIYOU COUNTY NEAR SEIAD VALLEY AT 3.5 MILES EAST OF THOMPSON CREEK BRIDGE
QA Service Level1 (Verified on 04/07/2014)

Sample Information

Sample Taken Date08/27/2014 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 testing08/29/2014
Sample typeInformational A brief description of the sampleAbutment
The quantity of what the sample constitutes2 From where was the sample collectedSource
First name of sampler or witnessed bySimion Last name of sampler or witnessed byRamirez
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample ID0
The fabricator/manufacturer/facility nameKieCon Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberK4070442
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collected711771
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedsource Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-08-27-12-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensWilliam Sommer, CT HQ - QASI Bay Area Field Office09/24/2014William Sommer
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2014-08-27-12-1 ASTM C39-10