Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2014-10-09-1

Project Information

Project IdentifiersProject ID: 208959
DEA: 04265604
EFIS: 0400000743
COOP: 042390A1
DIST-CO-RTE-PM04-SM-1-40.64/40.95
Award Date03/10/2014
Closeout Date01/29/2018
Work DescriptionREPLACEMENT OF THE EXISTING SAN PEDRO CREEK BRIDGE
Location DescriptionON ROUTE 1 IN SAN MATEO COUNTY
QA Service Level1 (Verified on 03/25/2014)

Sample Information

Sample Taken Date10/09/2014 Sample Unique Key1
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 testing10/07/2014
Sample typeInformational A brief description of the sampleBent cap
The quantity of what the sample constitutes2 From where was the sample collectedOther
First name of sampler or witnessed bycliff Last name of sampler or witnessed bylaw
Title of samplerUnknown Telephone number of samplerUnknown
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 identifierUnknown
Structure namebent cap

Material Information

Material TypeConcrete The concrete mix design number41111111
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectednone
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedJobsite 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
2014-10-09-1-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensWilliam Sommer, CT HQ - QASI Bay Area Field Office10/12/2014William Sommer
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2014-10-09-1-1 ASTM C39-10