Sample Record

Owner Lab

  • CT D03 - Sacramento Structures Construction Sanders Construction Field Office

DIME Sample ID 2014-09-04-12

Project Information

Project IdentifiersProject ID: 209175
DEA: 030F2204
EFIS: 0300000072
DIST-CO-RTE-PM03-ED-50-R30.7/R31.7
Award Date02/25/2014
Closeout Date07/30/2015
Work DescriptionREPLACE BRIDGE.
Location DescriptionSLY PARK UNDERCROSSING
QA Service Level1 (Verified on 11/01/2013)

Sample Information

Sample Taken Date09/04/2014 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 testing09/05/2014
Sample typeVerification A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 concrete cylinders From where was the sample collectedOther
First name of sampler or witnessed byAlfredo Last name of sampler or witnessed byCarranza
Title of samplerAssistant Structure Representative Telephone number of sampler(916) 203-5039
Laboratory sample identificationUnknown Linked DIME Sample ID0
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier25 0042
Structure nameSly Park Rd UC

Material Information

Material TypeConcrete The concrete mix design numberF628AFST0
The truck number from where the sample was collected27 The batch plant ticket number from where the sample was collected1049273
Concrete batch plant1A The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedDischarge from concrete truck into wheelbarrow 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 NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-09-04-12-1ASTM C1064-08: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteAlfredo CarranzaCT D03 - Sacramento Structures Construction Sanders Construction Field Office09/04/2014Alfredo Carranza
Yes
09/25/2014
2014-09-04-12-2ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement ConcreteAlfredo CarranzaCT D03 - Sacramento Structures Construction Sanders Construction Field Office09/04/2014Alfredo Carranza
Yes
09/25/2014