Sample Record

Owner Lab

  • CT HQ - Concrete Laboratory Docking Station

DIME Sample ID 2014-10-06-2

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 Date10/06/2014 Sample Unique Key2
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 testing10/14/2014
Sample typeVerification A brief description of the sampleConcrete cylinders
The quantity of what the sample constitutes4 From where was the sample collectedOther
First name of sampler or witnessed byBryan Last name of sampler or witnessed byNagid
Title of samplerASR Telephone number of sampler510-385-6910
Laboratory sample identification201454 Linked DIME Sample ID0
The fabricator/manufacturer/facility nameNA Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierUnknown
Structure nameSan Pedro Creek

Material Information

Material TypeConcrete The concrete mix design numberD15PP562
The truck number from where the sample was collected1679 The batch plant ticket number from where the sample was collected18906313
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedFrom the truck 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
2014-10-06-2-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensShe VangCT HQ - Sacramento Concrete Testing Laboratory11/03/2014She Vang
Yes
11/03/2014